Individual provider · Type 1 NPI
Jo Ann D. Clark, RN
Medical-Surgical Registered Nurse · Katterbach, DE
NPI number
1104908060
Active
Practice location
Cmr 454 Bx 2078, Usahc Katterbach
Katterbach, DE 09250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 28150675A (IN) |
Medical-Surgical Registered Nurse: Definition to come...
About NPI 1104908060
Jo Ann D. Clark, RN's National Provider Identifier is 1104908060, issued on Oct 20, 2006. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Katterbach, DE. The record was last updated on Jul 8, 2007.