Ms. NANCY JEANNE CLARK -- PAC
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1891714960- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PAC
- Status
- Active
Contact & Location
- Address
- 500 SW RAMSEY AVE, GRANTS PASS, OR, 975275554
- Phone
- (541) 472-7000
Specialties & Taxonomies
Physician Assistant
License: CA #PA17218
Physician Assistant
Primary License: OR #PA150863