Clark, Jennifer Richards

Clark, Jennifer Richards is an individual health care provider with primary practice located at 784 Highway 36 , Frenchburg KY 40322-8123. 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 Richards can be contacted via phone (606) 768-9190.

Contact Information

Primary practice address
784 Highway 36 Frenchburg KY 40322-8123
Phone: (606) 768-9190
Fax: (606) 768-9180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3011173 Kentucky

Profile Details

NPI number 1154844678
LBN Legal business name Clark, Jennifer Richards
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2017
Last updated Mar 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154844678 NPPES
Kentucky Other 3011173 APRN LICENSE

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