Individual
JORDAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8000
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0029054
OH
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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