Clark, Nancy Jeanne

Clark, Nancy Jeanne is an individual health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527-5554. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Nancy Jeanne can be contacted via phone (541) 472-7000.

Contact Information

Primary practice address
500 Sw Ramsey Ave Grants Pass OR 97527-5554
Phone: (541) 472-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17218 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA150863 Oregon

Profile Details

NPI number 1891714960
LBN Legal business name Clark, Nancy Jeanne
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 4th, 2017 - about 9 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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