Individual provider · Type 1 NPI

Jacquelyn Clark

Specialist · Columbia, SC

NPI number 1245768415 Active

Practice location

2000 N Beltline Blvd Apt 102E
Columbia, SC 29204-3976

Call (803) 814-2566 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245768415

Jacquelyn Clark's National Provider Identifier is 1245768415, issued on May 31, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Columbia, SC. The record was last updated on May 31, 2017.