DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERILLYN MARIE CLARK

Active Sole Proprietor

JERILLYN MARIE CLARK is a Audiologist-Hearing Aid Fitter healthcare provider located in CRYSTAL RIVER, Florida. NPI 1851406060 is currently active in the NPPES registry. Verify at CMS.

Audiologist-Hearing Aid Fitter · CRYSTAL RIVER, FL

Registration Details

NPI Number
1851406060
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2006 (19.939771500107 yrs)
Last Updated
Jul 9, 2007
License
AS2131 (FL)
Sole Proprietor
Yes

Practice Information

Address
6441 W NORVELL BRYANT HWY
CRYSTAL RIVER, FL, 344299413
Browse FL providers · Browse ZIP 34429
Phone
3527951775
Fax
3527956456
Primary Specialty
Audiologist-Hearing Aid Fitter
237600000X
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.