JESSICA MARION CLARK

SAINT PAUL, MN
NPI1457914160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  6747)
Enumeration Date2019-04-18
Last Update Date2022-01-05
Business Address
JESSICA MARION CLARK PMHNP
2265 COMO AVE
SAINT PAUL, MN 55108-1737
Phone number: 866-821-0821
Mailing Address
JESSICA MARION CLARK PMHNP
2265 COMO AVE
SAINT PAUL, MN 55108-1737
Phone number: 651-645-5323
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