Clark, Terri Jo
Clark, Terri Jo is an sole proprietor health care provider with primary practice located at 8550 Ne 138Th Ln Bldg 600 , Lady Lake FL 32159-6816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Terri Jo can be contacted via phone (352) 707-0707.Contact Information
Primary practice address
8550 Ne 138Th Ln Bldg 600
Lady Lake FL 32159-6816
Phone: (352) 707-0707
Fax: (269) 753-1717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11020806 | Florida |
Profile Details
| NPI number | 1962954305 |
|---|---|
| LBN Legal business name | Clark, Terri Jo |
| Credentials | FNP-BC, MSN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2016 |
| Last updated | Dec 27th, 2023 - about 2 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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