Clark, Jennifer Anne

Clark, Jennifer Anne is an sole proprietor health care provider with primary practice located at 1505 W Sherman Ave , Vineland NJ 08360-6912. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Jennifer Anne can be contacted via phone (856) 641-8000.

Contact Information

Primary practice address
1505 W Sherman Ave Vineland NJ 08360-6912
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00198600 New Jersey

Profile Details

NPI number 1629203948
LBN Legal business name Clark, Jennifer Anne
Credentials N.P.-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2009
Last updated May 17th, 2009 - about 15 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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