Clark, Nina

Clark, Nina is an individual health care provider with primary practice located at 915 W Monroe St Ste 200 , Jacksonville FL 32204-1177. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Clark, Nina can be contacted via phone (904) 384-2240.

Contact Information

Primary practice address
915 W Monroe St Ste 200 Jacksonville FL 32204-1177
Phone: (904) 384-2240
Fax: (904) 486-2314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RN82973 Florida

Profile Details

NPI number 1134683709
LBN Legal business name Clark, Nina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2019
Last updated Jan 28th, 2019 - about 6 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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