Clark, Jodi L
Clark, Jodi L is an individual health care provider with primary practice located at 1330 N Main St , Tennessee Ridge TN 37178-4003. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Clark, Jodi L can be contacted via phone (931) 721-3312.Contact Information
Primary practice address
1330 N Main St
Tennessee Ridge TN 37178-4003
Phone: (931) 721-3312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1043348634 |
|---|---|
| LBN Legal business name | Clark, Jodi L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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