Jessie D Clark is a student in an organized health care education training program in Fort Worth, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jessie D Clark NPI is 1376190298. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1201 WESLEYAN ST
FORT WORTH, TX
ZIP 76105-536
Phone: (817) 531-4444
The enumeration date for this NPI number is 8/26/2019 and was last updated on 8/26/2019.