NPI 1811641319

Jenevieve Lee Clark, CNM

Practitioner Advanced Practice Midwife Butte, MT

Practice location

Address: 400 S Clark St, Butte, MT 59701-2328
Phone: (406) 723-2500
Mailing address: 1640 Lowell Ave, Butte, MT 59701-5451

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence NUR-APRN-LIC-192285 (MT)

Other Advanced Practice Midwife providers in Montana →

Registry record

NPI: 1811641319
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Feb 2022
Record last updated: 10 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.