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Search › Missouri › 363LA2100X

Jessica Clark, ACNP-AG

NPI 1063138949 · on the registry since 2022

Practice

Address
1701 Lacey St
Cape Girardeau, MO 63701
Phone
(573) 331-6431
Fax
(573) 986-5984
Organisation at this address
Deborah D Price
Southeast Health
Southeast Hospital
Southeast Hospital
Southeast Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
98

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363LG0600X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri