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JESSICA AMAKA CLARKE NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1942792684

Individual Registrant:
 JESSICA AMAKA CLARKE NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
950 EAST COY SMITH HWY  MT. VERNON, AL 36560 US
Tel: 251-829-9884  Fax: --

Contact information for business:
251 N BAYOU ST  MOBILE, AL 36603-5827 US
Tel: 251-690-8858  Fax: --

Registration Information:
NPI: 1942792684
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-123212

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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