JENNIFER CLARK, AGNP
Nurse Practitioner
Active
Individual
NPI: 1679001192
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 4704290820 (MI) |
| Nurse Practitioner | 363L00000X | Yes | 4704290820 (MI) |
Frequently Asked Questions
NPI 1679001192 is the National Provider Identifier for JENNIFER CLARK, AGNP, a Nurse Practitioner provider located in Sisseton, SD. This NPI was enumerated on May 28, 2017.
JENNIFER CLARK, AGNP practices at 100 LAKE TRAVERSE DR, Sisseton, SD 57262.
Quick Facts
- NPI
- 1679001192
- Type
- Individual
- Enumerated
- May 28, 2017
- Last Updated
- Feb 22, 2024
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