Most Relevant Information
Provider Data
| NPI Number: | 1003334665 |
| Provider Name: | JEREMY L. CLARK NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-148637 |
Most Important Dates
| Enumeration Date: | 09/05/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
985 9TH AVE SW STE 307
BESSEMER
AL
350227809
Practice Location Phone/Fax
| Phone: | 2054817384 |
| Fax: |
Provider Mailing Location
985 9TH AVE SW STE 307
BESSEMER
AL
350227809
Provider Mailing Phone/Fax
| Phone: | 2054817384 |
| Fax: |