Clark, Jennifer Lee

Clark, Jennifer Lee is an individual health care provider with primary practice located at 1005 Boulder Dr , Gray GA 31032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Jennifer Lee can be contacted via phone (478) 621-2100.

Contact Information

Primary practice address
1005 Boulder Dr Gray GA 31032
Phone: (478) 621-2100
Fax: (478) 744-0481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN173733 Georgia

Profile Details

NPI number 1265661045
LBN Legal business name Clark, Jennifer Lee
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2009
Last updated Jul 17th, 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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