Jennifer S. Clark in Wausau - Physician Assistant
Jennifer S. Clark - NPI 1891721601
Jennifer S. Clark is a Physician Assistant in Wausau, Wisconsin. Jennifer S. Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer S. Clark is 1891721601. The last update date is 2010-12-06.
Jennifer S. Clark's current location address is 500 Wind Ridge Dr., Wausau, Wisconsin. You can contact this provider via phone number 7158472611 and fax number 7158472612. The mailing address for Jennifer S. Clark is 500 Wind Ridge Dr., Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer S. Clark |
|---|---|
| Address | 500 Wind Ridge Dr., Wausau, Wisconsin |
| Phone Number | 7158472611 |
| Fax Number | 7158472612 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1891721601 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2010-12-06 |
Provider Mailing Address Detail
| Address | 500 Wind Ridge Dr. |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 544014173 |
| Phone Number | 7158472611 |
| Fax Number | 7158472612 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1648 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1648-023 | WI | WI STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer S. Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer S. Clark has been assigned the NPI (National Provider Identifier) 1891721601. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jennifer S. Clark located?
The Jennifer S. Clark is located at 500 Wind Ridge Dr., Wausau, WI 544014173.
What is the area of specialization for Jennifer S. Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer S. Clark is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Jennifer S. Clark's 1891721601 issued?
The Jennifer S. Clark's 1891721601 was issued on 2006-06-23.
On what date did the Centers for Medicare & Medicaid Services issue the 1891721601 to Jennifer S. Clark?
The Jennifer S. Clark received its 1891721601 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
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