Individual provider · Type 1 NPI
Jessica Lynn Clark
Nurse Practitioner · Pensacola, FL
Practice location
4901 Market Place Rd
Pensacola, FL 32504-8986
Fax (833) 810-1165
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11022604 (FL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1619686946
Jessica Lynn Clark's National Provider Identifier is 1619686946, issued on Nov 15, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pensacola, FL. The record was last updated on Nov 15, 2022.