Jeremy L. Clark
Nurse Practitioner - Family Medicine
985 9th Ave Sw Ste 307
Bessemer
, Alabama 35022-7809
Jeremy L. Clark
Nurse Practitioner - Family Medicine
985 9th Ave Sw Ste 307
Bessemer
, Alabama 35022-7809
(205) 481-7384
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Jeremy L. Clark
- 985 9th Ave Sw Ste 307
- Bessemer, AL
- Zip : 35022-7809
- Phone : (205) 481-7384
Second Address
- Jeremy L. Clark
- 985 9th Ave Sw Ste 307
- Bessemer, AL
- Zip : 35022-7809
- Phone : (205) 481-7384
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 1-148637 | AL |
National Provider Identifier
| NPI | 1003334665 |
|---|---|
| Provider Name | Jeremy L. Clark |
| First Address | Bessemer, AL 35022-7809 |
| Second Address | Bessemer, AL 35022-7809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2017 |
| Last Update Date | 04/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.