Clark, Jennifer Rae

Clark, Jennifer Rae is an individual health care provider with primary practice located at 2800 E League City Pkwy Apt 216 , League City TX 77573-1676. 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, Jennifer Rae can be contacted via phone (907) 350-8538.

Contact Information

Primary practice address
2800 E League City Pkwy Apt 216 League City TX 77573-1676
Phone: (907) 350-8538
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP142270 Texas

Profile Details

NPI number 1982249926
LBN Legal business name Clark, Jennifer Rae
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2019
Last updated Nov 13th, 2019 - about 5 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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