Clark, Jennifer

Clark, Jennifer is an individual health care provider with primary practice located at 9846 Hwy 31 E , Tyler TX 75705-2329. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Jennifer can be contacted via phone (903) 592-8001.

Contact Information

Primary practice address
9846 Hwy 31 E Tyler TX 75705-2329
Phone: (903) 592-8001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1578108759
LBN Legal business name Clark, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2019
Last updated Nov 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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