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Jessica Clark

Case Manager/Care Coordinator in Slidell, LA. Individual provider (NPI-1).

NPI number1154214799
StatusActive
Last updated in NPPESJun 13, 2025

Details

NPI
1154214799
Entity type
Individual (NPI-1)
Name
Jessica Clark
Sex
Female
Sole proprietor
No
Enumeration date
Jun 2, 2025
Certification date
Jun 13, 2025
Last updated
Jun 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator1154214799LAYes

Practice location

118 Village St
Slidell, LA 70458-5302

Phone 985-781-4444

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Phone 985-781-4444

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