Ms Jennifer Lynn Peacock Clark, | |
173 Meserole Ave Apt 2l, Brooklyn, NY 11222-2424 | |
(646) 256-2104 | |
Not Available |
Full Name | Ms Jennifer Lynn Peacock Clark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 173 Meserole Ave Apt 2l, Brooklyn, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962918417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 561419 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 308588 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Lynn Peacock Clark, 173 Meserole Ave Apt 2l, Brooklyn, NY 11222-2424 Ph: () - | Ms Jennifer Lynn Peacock Clark, 173 Meserole Ave Apt 2l, Brooklyn, NY 11222-2424 Ph: (646) 256-2104 |
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