Clark, Jennifer Marie

Clark, Jennifer Marie is an individual health care provider with primary practice located at 2864 Moody Ave , Orange Park FL 32073-6423. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Clark, Jennifer Marie can be contacted via phone (904) 765-0665.

Contact Information

Primary practice address
2864 Moody Ave Orange Park FL 32073-6423
Phone: (904) 765-0665
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1043729288
LBN Legal business name Clark, Jennifer Marie
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Sep 20th, 2017 - about 9 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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