JENNA MARIE CLARK

DAYTON, OH
NPI1144687492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: OH  APRN.CNP.0030509)
Additional Taxonomies163WL0100X Registered Nurse, Lactation Consultant
(Licence: OH  RN 343251 L-88563)
Enumeration Date2016-01-18
Last Update Date2024-05-13
Business Address
Mrs. JENNA MARIE CLARK NNP
1 CHILDRENS PLZ
DAYTON, OH 45404-1815
Phone number: 937-641-5072
Mailing Address
Mrs. JENNA MARIE CLARK NNP
PO BOX 933432
CLEVELAND, OH 44193-0039
Phone number: 937-641-5072