Most Relevant Information
Provider Data
| NPI Number: | 1003409756 |
| Provider Name: | JOCELYN CLARK |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 8054881-3102 |
Most Important Dates
| Enumeration Date: | 02/13/2021 |
| Last Updated: | 05/09/2021 |
Provider Practice Location
375 N MAIN ST STE 103
KAYSVILLE
UT
840371272
Practice Location Phone/Fax
| Phone: | 8012164130 |
| Fax: |
Provider Mailing Location
375 N MAIN ST STE 103
KAYSVILLE
UT
840371272
Provider Mailing Phone/Fax
| Phone: | 8012164130 |
| Fax: |