JESSICA NICOLE CLARK

WATERLOO, IA
NPI1851941991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  A154270)
Enumeration Date2019-09-19
Last Update Date2019-09-19
Business Address
JESSICA NICOLE CLARK NP-C
1825 LOGAN AVE
WATERLOO, IA 50703-1916
Phone number: 319-235-3697
Mailing Address
JESSICA NICOLE CLARK NP-C
924 BERTCH AVE
WATERLOO, IA 50702-3110
Phone number: 319-939-2404