JESSICA LANE CLARK

ATHENS, GA
NPI1093387664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN222359)
Enumeration Date2021-07-13
Last Update Date2023-04-25
Business Address
JESSICA LANE CLARK DNP, PMHNP-BC
695 KINGS RD
ATHENS, GA 30606-3119
Phone number: 706-247-6029
Mailing Address
JESSICA LANE CLARK DNP, PMHNP-BC
695 KINGS RD
ATHENS, GA 30606-3119
Phone number: 706-247-6029
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