Search › Louisiana › 101Y00000X
Jessica Clark
NPI 1811416076 · on the registry since 2017
Practice
- Address
- 42189 Shadow Creek Ave
Gonzales, LA 70737 - Phone
- (225) 978-7583
- Organisation at this address
- Choice Transportation, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 171M00000X
- Sex
- Female
- Record last updated
- 2022-07-21
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 Louisiana