JAINIE CLARK

INDIANAPOLIS, IN
NPI1043972326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IN  71011866A)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: IN  28171363A)
Enumeration Date2021-10-13
Last Update Date2023-01-09
Business Address
JAINIE CLARK RN, NP-C
8111 S EMERSON AVE STE 101
INDIANAPOLIS, IN 46237-8601
Phone number: 317-528-1420
Mailing Address
JAINIE CLARK RN, NP-C
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800