Clark, Jessica Lynn
Clark, Jessica Lynn is an individual health care provider with primary practice located at 1190 Sw Jericho Ave , Port St Lucie FL 34953-6889. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Clark, Jessica Lynn can be contacted via phone (772) 259-0474.Contact Information
Primary practice address
1190 Sw Jericho Ave
Port St Lucie FL 34953-6889
Phone: (772) 259-0474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | SS1724 | Florida |
Profile Details
| NPI number | 1184335820 |
|---|---|
| LBN Legal business name | Clark, Jessica Lynn |
| Credentials | MA/CAGS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2022 |
| Last updated | Dec 18th, 2022 - 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.
Popular Providers
-
Todd, Cynthia B
17003 Sw Sapri Way , Port St. Lucie FL 34986-2884 -
Frazier, Steven Loren
6984 12Th Ter N , St Petersburg FL 33710-6126 -
Borgas, Kenny
360 Central Ave Ste 1230 , St Petersburg FL 33701-3865 -
Hangauer, Jason David
880 6Th St S Ste 410 , St Petersburg FL 33701-4825 -
Oneill, Robert
2001 Sw Lance Ave , Port St Lucie FL 34953-2173 -
Loosle, Lisa
529 Nw Prima Vista Blvd Ste 301L , Port St Lucie FL 34983-8790 -
Orue, Isis
1860 Sw Fountainview Blvd Ste 100 , Port St Lucie FL 34986-4528 -
Hinkhouse, Kathryn
9148 Pumpkin Rdg , Port Saint Lucie FL 34986-3336