Clark, Jennifer Marie

Clark, Jennifer Marie is an individual health care provider with primary practice located at 19601 Mariner Ave , Torrance CA 90503-1647. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Clark, Jennifer Marie can be contacted via phone (310) 371-0813.

Contact Information

Primary practice address
19601 Mariner Ave Torrance CA 90503-1647
Phone: (310) 371-0813
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP 17909 California

Profile Details

NPI number 1669626669
LBN Legal business name Clark, Jennifer Marie
Credentials RN, NP (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2008
Last updated Jan 15th, 2013 - about 12 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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