Jacki Shehan Clark
Case Manager/Care Coordinator · Starke, FL
Practice location
945 Grand StStarke, FL 32091-1821
- Phone
- (904) 964-8382
NPI record
- NPI
- 1730795477
- Entity type
- Individual (Type 1)
- Enumeration date
- September 18, 2020
- Last updated
- September 18, 2020
- Certified
- September 18, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X |
— | — |
Mailing address
4300 SW 13TH StGainesville, FL 32608-4006
- Phone
- (352) 374-5600
About Jacki Clark
Jacki Shehan Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 945 Grand St, Starke, FL 32091-1821. The NPI number 1730795477 was assigned on September 18, 2020 and the record was last updated on September 18, 2020.
Frequently asked questions
What is the NPI number of Jacki Shehan Clark?
The NPI number is 1730795477.
What is the phone number of Jacki Clark?
The phone number listed for the practice location is (904) 964-8382.
Where is Jacki Clark located?
945 Grand St, Starke, FL 32091-1821.
What is the taxonomy code for Jacki Clark?
The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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