Clark, Jennijo

Clark, Jennijo is an sole proprietor health care provider with primary practice located at 402 W South Park Ave , Oshkosh WI 54902-6569. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Jennijo can be contacted via phone (920) 203-9055.

Contact Information

Primary practice address
402 W South Park Ave Oshkosh WI 54902-6569
Phone: (920) 203-9055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 313347-31 Wisconsin

Profile Details

NPI number 1265734354
LBN Legal business name Clark, Jennijo
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2010
Last updated Nov 23rd, 2010 - about 14 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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