Clark, Jessica Lane

Clark, Jessica Lane is an sole proprietor health care provider with primary practice located at 695 Kings Rd , Athens GA 30606-3119. 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, Jessica Lane can be contacted via phone (706) 247-6029.

Contact Information

Primary practice address
695 Kings Rd Athens GA 30606-3119
Phone: (706) 247-6029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN222359 Georgia

Profile Details

NPI number 1093387664
LBN Legal business name Clark, Jessica Lane
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2021
Last updated Apr 25th, 2023 - 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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