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 Date2024-07-31
Business Address
JENNA ELIZABETH CLARK NP
971 LAKELAND DR STE 356
JACKSON, MS 39216-4607
Phone number: 601-200-4644
Mailing Address
JENNA ELIZABETH CLARK NP
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 601-200-4644