JESSICA KATE CLARK

WAYCROSS, GA
NPI1417412917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN215514)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: GA  RN215514)
Enumeration Date2019-02-08
Last Update Date2023-04-03
Business Address
JESSICA KATE CLARK APRN
1007 MARY ST
WAYCROSS, GA 31503-3823
Phone number: 800-342-8168
Mailing Address
JESSICA KATE CLARK APRN
1007 MARY ST
WAYCROSS, GA 31503-3823
Phone number: 800-342-8168