JEREMY CLARK

BIRMINGHAM, AL
NPI1699458935
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-178487)
Enumeration Date2023-08-14
Last Update Date2024-10-02
Business Address
JEREMY CLARK CRNP
810 SAINT VINCENTS DR
BIRMINGHAM, AL 35205-1601
Phone number: 904-372-3943
Mailing Address
JEREMY CLARK CRNP
7751 BELFORT PKWY STE 120
JACKSONVILLE, FL 32256-6921
Phone number: 904-372-3943
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