Clarke, Jennifer Ruth

Clarke, Jennifer Ruth is an individual health care provider with primary practice located at 5120 Beatline Rd Ste A , Long Beach MS 39560-3815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clarke, Jennifer Ruth can be contacted via phone (228) 868-4287.

Contact Information

Primary practice address
5120 Beatline Rd Ste A Long Beach MS 39560-3815
Phone: (228) 868-4287
Fax: (228) 868-4293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R855220 Mississippi

Profile Details

NPI number 1659671089
LBN Legal business name Clarke, Jennifer Ruth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2010
Last updated Nov 2nd, 2010 - about 16 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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