Clark, Jennifer Morgan

Clark, Jennifer Morgan is an individual health care provider with primary practice located at 10 Patewood Dr Ste 130 , Greenville SC 29615-6317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clark, Jennifer Morgan can be contacted via phone (864) 455-8988.

Contact Information

Primary practice address
10 Patewood Dr Ste 130 Greenville SC 29615-6317
Phone: (864) 455-8988
Fax: (864) 522-5555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 13282 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024167709 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 20752 South Carolina

Profile Details

NPI number 1194933507
LBN Legal business name Clark, Jennifer Morgan
Credentials DNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated May 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194933507 NPPES
South Carolina MEDICAID NP4552

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