Clark, Jessica Kate

Clark, Jessica Kate is an sole proprietor health care provider with primary practice located at 1007 Mary St , Waycross GA 31503-3823. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clark, Jessica Kate can be contacted via phone (800) 342-8168.

Contact Information

Primary practice address
1007 Mary St Waycross GA 31503-3823
Phone: (800) 342-8168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN215514 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN215514 Georgia

Profile Details

NPI number 1417412917
LBN Legal business name Clark, Jessica Kate
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2019
Last updated Apr 3rd, 2023 - about last year

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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