Clark, Jessica N

Clark, Jessica N is an individual health care provider with primary practice located at 1701 Lacey St , Cape Girardeau MO 63701-5230. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Clark, Jessica N can be contacted via phone (573) 331-6431.

Contact Information

Primary practice address
1701 Lacey St Cape Girardeau MO 63701-5230
Phone: (573) 331-6431
Fax: (573) 986-5984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2016011887 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2016011887 Missouri

Profile Details

NPI number 1063138949
LBN Legal business name Clark, Jessica N
Credentials ACNP-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2022
Last updated Oct 13th, 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.

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