Individual provider · Type 1 NPI
Jessica N. Clark, ACNP-AG
Acute Care Nurse Practitioner · Cape Girardeau, MO
NPI number
1063138949
Active
Practice location
1701 Lacey St
Cape Girardeau, MO 63701-5230
Fax (573) 986-5984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2016011887 (MO) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2016011887 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1063138949
Jessica N. Clark, ACNP-AG's National Provider Identifier is 1063138949, issued on Oct 13, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Cape Girardeau, MO. The record was last updated on Oct 13, 2022.