Individual provider · Type 1 NPI
Destiny Sade Clark
Student in an Organized Health Care Education/Training Program · Jacksonville, FL
NPI number
1497462667
Active
Practice location
8496 Julia Marie Cir
Jacksonville, FL 32210-0408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1497462667
Destiny Sade Clark's National Provider Identifier is 1497462667, issued on Oct 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 27, 2022.