Jacob Clark, APRN, PMHNP-BC
NPI #1487009957 in Draper, Utah
Provider Information
- NPI Number
- 1487009957
- Entity Type
- Individual
- Name
- Jacob Clark, APRN, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- APRN, PMHNP-BC
- Enumeration Date
- May 3, 2016
- Last Updated
- Oct 1, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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