Jennifer M. Clark in Santa Rosa - Nurse Practitioner
Jennifer M. Clark - NPI 1437335551
Jennifer M. Clark is a Nurse Practitioner in Santa Rosa, California. Jennifer M. Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jennifer M. Clark is 1437335551. The last update date is 2022-07-21.
Jennifer M. Clark's current location address is 500 Doyle Park Dr Ste G04, Santa Rosa, California. You can contact this provider via phone number 7073038349 and fax number 7073032694. The mailing address for Jennifer M. Clark is 500 Doyle Park Dr Ste G04, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer M. Clark |
|---|---|
| Address | 500 Doyle Park Dr Ste G04, Santa Rosa, California |
| Phone Number | 7073038349 |
| Fax Number | 7073032694 |
| Sole Proprietor | N |
| Credentials | R.N., FNP |
NPI Number Detail
| NPI Number | 1437335551 |
|---|---|
| Provider Enumeration Date | 2008-01-18 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 500 Doyle Park Dr Ste G04 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054559 |
| Phone Number | 7073038349 |
| Fax Number | 7073032694 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 740722 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 193487901 | TX | -- | |
| 8Y5099 | TX | BCBS | |
| P00622287 | TX | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer M. Clark by the Centers for Medicare & Medicaid Services?
The Jennifer M. Clark has been assigned the NPI (National Provider Identifier) 1437335551. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jennifer M. Clark is physically located?
The Jennifer M. Clark is situated at the following address: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 954054559.
What is Jennifer M. Clark's area of expertise and its corresponding taxonomy classification?
The Jennifer M. Clark's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1437335551 assigned to Jennifer M. Clark?
The Jennifer M. Clark was issued its 1437335551 on 2008-01-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jennifer M. Clark last refreshed?
The information related to the Jennifer M. Clark, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
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