Clark, Jackie Teresa

Clark, Jackie Teresa is an individual health care provider with primary practice located at 2184 Roberts Journey , Ravenna OH 44266-7810. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Clark, Jackie Teresa can be contacted via phone (330) 937-5142.

Contact Information

Primary practice address
2184 Roberts Journey Ravenna OH 44266-7810
Phone: (330) 937-5142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1841888328
LBN Legal business name Clark, Jackie Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2021
Last updated Jan 9th, 2021 - about 3 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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