Jacqueline Marie Clark RN

NPI 1013255611 - Registered Nurse - 163W00000X

NPI Details
NPI 1013255611
Gender Female
Enumeration Date 01/17/2013
Last Updated 01/17/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
700 19TH ST S
BIRMINGHAM AL, 35233-1927, US
Phone (205) 933-8101
Fax (205) 558-4783
Business Location
1709 1ST CT W
BIRMINGHAM AL, 35208-5201, US
Phone (205) 933-8101
Fax (205) 558-4783
Taxonomy Code 163W00000X
License State Alabama
License Number 1-051962
Remove 1013255611 NPI Number

According to our database, Ms. Jacqueline Marie Clark RN NPI is 1013255611, taxonomy code is 163W00000X and license number is 1-051962, license state is located at Alabama. Jacqueline Marie Clark RN physically located at 700 19th St S, Birmingham AL, 35233-1927. NPI Number Jacqueline Marie Clark RN has the Individual type.

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1013255611 NPI number is provided on an as is basis without warranty of any kind. 1013255611 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Marie Clark RN are for informational purposes only.