Individual provider · Type 1 NPI
Jacqueline Marie Clark, RN
Registered Nurse · Birmingham, AL
Practice location
700 19th St S
Birmingham, AL 35233-1927
Fax (205) 558-4783
Mailing address
1709 1st Ct W
Birmingham, AL 35208-5201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 1-051962 (AL) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1013255611
Jacqueline Marie Clark, RN's National Provider Identifier is 1013255611, issued on Jan 17, 2013. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Birmingham, AL. The record was last updated on Jan 17, 2013.