JENNA ELIZABETH CLARK

JACKSON, MS
NPI1104201649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R890237)
Enumeration Date2015-07-27
Last Update Date2015-07-27
Business Address
-- JENNA ELIZABETH CLARK NP
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-4644
Mailing Address
-- JENNA ELIZABETH CLARK NP
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-4749