JOHNEISHA DENISE CLARK

JACKSONVILLE, FL
NPI1649827445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11004035)
Enumeration Date2019-08-26
Last Update Date2022-02-11
Business Address
JOHNEISHA DENISE CLARK
3333 W 20TH ST
JACKSONVILLE, FL 32254-1703
Phone number: 904-695-9145
Mailing Address
JOHNEISHA DENISE CLARK
3333 W 20TH ST
JACKSONVILLE, FL 32254-1703
Phone number: 904-695-9145
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