Individual provider · Type 1 NPI
Jonathan Andrew Clark, APRN
Family Nurse Practitioner · St. Petersburg, FL
NPI number
1790246270
Active
Practice location
5042 12th Ave N
St. Petersburg, FL 33710-6011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11000850 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1790246270
Jonathan Andrew Clark, APRN's National Provider Identifier is 1790246270, issued on Mar 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 27, 2019.