Jennifer Rae Clark, CPNP-PC
NPI #1982249926 in League City, Texas
Provider Information
- NPI Number
- 1982249926
- Entity Type
- Individual
- Name
- Jennifer Rae Clark, CPNP-PC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CPNP-PC
- Enumeration Date
- Nov 13, 2019
- Last Updated
- Nov 13, 2019
Practice Location
- Address
- 2800 E LEAGUE CITY PKWY APT 216
- City
- League City
- State
- Texas
- ZIP Code
- 77573-1676
- Phone
- (907) 350-8538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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