MRS. JACKELINE CLARK

Community Health Worker

Active Individual
NPI: 1184506883

Practice Address

2526 SEYMOUR AVE
Cheyenne, WY 82001

Phone: (307) 634-9653

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1184506883 is the National Provider Identifier for MRS. JACKELINE CLARK, a Community Health Worker provider located in Cheyenne, WY. This NPI was enumerated on July 23, 2025.
MRS. JACKELINE CLARK practices at 2526 SEYMOUR AVE, Cheyenne, WY 82001.

Quick Facts

NPI
1184506883
Type
Individual
Enumerated
Jul 23, 2025
Last Updated
Jul 23, 2025

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