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1194376020
JESSICA CLARK
STAUNTON, VA
NPI
1194376020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024178280)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
JESSICA CLARK PMHNP
103 VALLEY CENTER DR
STAUNTON, VA 24401-5080
Phone number: 540-332-8211
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Mailing Address
JESSICA CLARK PMHNP
PO BOX 2500
STAUNTON, VA 24402-2500
Phone number: 540-332-8211
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