Clark, Jessica Ann

Clark, Jessica Ann is an individual health care provider with primary practice located at 6085 Heartland Dr Ste 204 , Zionsville IN 46077-4433. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clark, Jessica Ann can be contacted via phone (317) 873-1200.

Contact Information

Primary practice address
6085 Heartland Dr Ste 204 Zionsville IN 46077-4433
Fax: (317) 873-1209
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37002222A Indiana

Profile Details

NPI number 1740856095
LBN Legal business name Clark, Jessica Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2021
Last updated Jun 9th, 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.

Request for update

Popular Providers