Clark, Jessiana

Clark, Jessiana is an individual health care provider with primary practice located at 1079 N Houston Levee Road Suite 102, Cordova TN 38018. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Clark, Jessiana can be contacted via phone (901) 248-7440.

Contact Information

Primary practice address
1079 N Houston Levee Road Suite 102 Cordova TN 38018
Phone: (901) 248-7440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1578138772
LBN Legal business name Clark, Jessiana
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - about 5 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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