Jennifer Lee Clark, NURSE PRACTITIONER

NPI #1265661045 in Gray, Georgia

Provider Information

NPI Number
1265661045
Entity Type
Individual
Name
Jennifer Lee Clark, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NURSE PRACTITIONER
Enumeration Date
Jul 14, 2009
Last Updated
Jul 17, 2019

Practice Location

Address
1005 BOULDER DR
City
Gray
State
Georgia
ZIP Code
31032
Phone
(478) 621-2100

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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