Search › Maryland › 124Q00000X
Jessica Clark
NPI 1639958200 · on the registry since 2023
Practice
- Address
- 11 Terron Ct
Parkville, MD 21234 - Phone
- (443) 704-6984
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-25
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 Maryland