Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY JANE CLARK, RN, CHES
Active Sole ProprietorMRS. MARY JANE CLARK, RN, CHES is a Health & Wellness Coach healthcare provider located in CARTHAGE, Illinois. NPI 1548986565 is currently active in the NPPES registry. Verify at CMS.
Health & Wellness Coach · CARTHAGE, IL
Registration Details
- NPI Number
- 1548986565
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2022 (3.7948346729692 yrs)
- Last Updated
- Oct 12, 2022
- License
-
9468 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1450 N COUNTY ROAD 2050 ECARTHAGE, IL, 623213551Browse IL providers · Browse ZIP 62321
- Phone
- 2173576832
- Fax
- 2173576839
- Primary Specialty
-
Health & Wellness Coach
171400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.