Clark, Jennifer Shae
Clark, Jennifer Shae is an individual health care provider with primary practice located at 215 Westside Dr Ste 200 , Decatur TX 76234-3869. 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 Shae can be contacted via phone (940) 273-5700.Contact Information
Primary practice address
215 Westside Dr Ste 200
Decatur TX 76234-3869
Phone: (940) 273-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1010436 | Texas |
Profile Details
| NPI number | 1295319374 |
|---|---|
| LBN Legal business name | Clark, Jennifer Shae |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2021 |
| Last updated | Jan 26th, 2024 - about 2 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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