JENNIFER LEE CLARK

GRAY, GA
NPI1265661045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN173733)
Enumeration Date2009-07-14
Last Update Date2019-07-17
Business Address
JENNIFER LEE CLARK Nurse Practitioner
1005 BOULDER DR
GRAY, GA 31032
Phone number: 478-621-2100
Mailing Address
JENNIFER LEE CLARK Nurse Practitioner
1005 BOULDER DR
GRAY, GA 31032-6141
Phone number: 478-621-2100