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1104201649
JENNA ELIZABETH CLARK
JACKSON, MS
NPI
1104201649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R890237)
Enumeration Date
2015-07-27
Last Update Date
2024-07-31
Business Address
JENNA ELIZABETH CLARK NP
971 LAKELAND DR STE 356
JACKSON, MS 39216-4607
Phone number: 601-200-4644
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Mailing Address
JENNA ELIZABETH CLARK NP
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 601-200-4644
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