JESSICA AUTUMN CLARK
Individual Provider (NPI-1)
Active
Internal Medicine, Hospice and Palliative Medicine
Provider Information
- NPI Number
1104560317- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 101 SIVLEY RD SW, HUNTSVILLE, AL, 358014470
- Phone
- (256) 265-1000
Specialties & Taxonomies
Internal Medicine
License: AL #4187
Internal Medicine, Hospice and Palliative Medicine
Primary License: AL #4187
Student in an Organized Health Care Education/Training Program
License: MS