Individual
JEANNINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1000 LOCUST ST, RENO, NV 89502-2597
(775) 786-7200
Mailing address
2000 GREENSBURG CIR, RENO, NV 89509-6840
(775) 324-1533
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN00030
NV
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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