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Dr. Jennifer Lynn Clark, M.D.

Internal Medicine in Georgetown, TX. Individual provider (NPI-1).

NPI number1003876095
StatusActive
Last updated in NPPESJan 13, 2021

Details

NPI
1003876095
Entity type
Individual (NPI-1)
Name
Dr. Jennifer Lynn Clark
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 24, 2006
Certification date
Jan 13, 2021
Last updated
Jan 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineL6327TXYes

Practice location

4945 Williams Dr
Georgetown, TX 78628-2008

Phone 512-819-0500

Mailing address

Po Box 844658
Dallas, TX 75284-4658

Phone 254-724-8800

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