Clark, Jamee Lynn

Clark, Jamee Lynn is an sole proprietor health care provider with primary practice located at 735 W Main St , Fredericktown MO 63645-1113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Jamee Lynn can be contacted via phone (573) 783-8875.

Contact Information

Primary practice address
735 W Main St Fredericktown MO 63645-1113
Phone: (573) 783-8875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2012024969 Missouri

Profile Details

NPI number 1205183399
LBN Legal business name Clark, Jamee Lynn
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2012
Last updated Oct 11th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205183399 NPPES
Missouri MEDICAID 500948203

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