Johneisha Denise Clark is a psychiatric/mental health nurse practitioner in Jacksonville, FL with 5 years of experience. Johneisha Denise Clark NPI is 1649827445. 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:
3333 W 20TH ST
JACKSONVILLE, FL
ZIP 32254-703
Phone: (904) 695-9145
The NPI 1649827445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/26/2019 and was last updated on 2/11/2022.