Jennifer M. Clark

R.N., FNP | Nurse Practitioner

500 Doyle Park Dr Ste G04, Santa Rosa
  California, 95405-4559
707-303-8349
May or may not accept Medicare Nurse Anesthetist in Santa Rosa, California.
Jennifer M. Clark is a Santa Rosa, California based nurse practitioner. Active license number of Jennifer M. Clark is NP12069 in California. Her current practice location is 500 Doyle Park Dr Ste G04, Santa Rosa. Patients can reach her at 707-303-8349 or can fax her at 707-303-2694. Jennifer M. Clark is R.N., FNP and her NPI number (Unique professional ID assigned by NPPES) is 1437335551.
Jennifer M. Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jennifer M. Clark speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jennifer M. Clark
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: R.N., FNP
Practice Address:500 Doyle Park Dr Ste G04, Santa Rosa,
California, 95405-4559
Phone:707-303-8349
Fax:707-303-2694
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1437335551
NPI Enumeration Date: 18 Jan, 2008
NPI Last Update On: 21 Jul, 2022

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer M. Clark are as mentioned below.
License NumberSpecializationStateStatus
NP12069 CaliforniaPrimary
740722Nurse Practitioner TexasSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer M. Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
193487901MedicaidTexas
8Y5099OtherTexasBCBS
P00622287OtherTexasRR MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jennifer M. Clark
500 Doyle Park Dr Ste G04,
Santa Rosa, California
Zip: 95405-4559
Phone Number: 707-303-8349
Fax Number: 707-303-2694
Patients can reach Jennifer M. Clark at 500 Doyle Park Dr Ste G04, Santa Rosa, California or can call to book an appointment on 707-303-8349.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.