Individual provider · Type 1 NPI
Jessica Clark, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Staunton, VA
NPI number
1194376020
Active
Practice location
103 Valley Center Dr
Staunton, VA 24401-5080
Mailing address
PO Box 2500
Staunton, VA 24402-2500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024178280 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194376020
Jessica Clark, PMHNP's National Provider Identifier is 1194376020, issued on Sep 23, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Staunton, VA. The record was last updated on Sep 23, 2019.