MRS. JENNA MARIE CLARK (NPI# 1144687492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144687492 |
| Entity Type | Individual |
| Full Name | MRS. JENNA MARIE CLARK |
| Credential | RN, BSN, IBCLC |
| Practice Address |
7611 Peterson Rd Conover OH 45317-9721 |
| Practice Telephone | 9378755283 |
| Mailing Telephone | 9378755283 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
RN 343251 L-8856 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104201649 | Jenna Elizabeth Clark | Nurse Practitioner | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2015-07-27 |
| 1093123507 | Jenna Clark | Pharmacist | 1700 Wheeling St, Aurora, CO 80045-7211 | 2014-07-28 |
| 1265757736 | Jenna M Clark | Social Worker | 1445 N 4th St, New Richmond, WI 54017-1063 | 2010-03-29 |
| Street Address |
7611 PETERSON RD |
| City | CONOVER |
| State | OH |
| Zip Code | 45317-9721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269486 | Nicole W Sherrill | Counselor | 102 Brandywine Dr Ne Apt J3, Conover, NC 28613-1822 | 2020-09-15 |
| 1386258671 | Samantha Lackey | Hearing Instrument Specialist | 1217-f Nc Highway 16, Conover, NC 28613 | 2020-09-03 |
| 1265043004 | Benjamin N.h. Haddock | Physician Assistant | 4095 Principal Cir Nw, Conover, NC 28613-8864 | 2020-08-14 |
| 1669097069 | Clinical Counseling Services Inc | Counselor | 715 Fairgrove Church Rd Se Ste 202a, Conover, NC 28613-9289 | 2020-06-11 |
| 1396366548 | Healthstat Onsite Clinic Mccreary Modern Plant 9 | Preventive Medicine | 1224 Keisler Rd Se, Conover, NC 28613-9336 | 2020-04-29 |
| 1700407053 | Tasha Nichole Herman | Behavior Technician | 5717 Alan D Good Ln, Conover, NC 28613-7902 | 2020-04-28 |
| 1043857386 | Walk With Me | Counselor | 4108 Lb Propst Dr, Conover, NC 28613-8830 | 2019-12-05 |
| 1417590712 | Elizabeth Ann Murray | Case Management | 2850 Snead Ct Ne, Conover, NC 28613-9013 | 2019-10-21 |
| 1497313381 | Gjulshana Nurceski | Internal Medicine | 203 1st St East, Conover, NC 28613 | 2019-06-05 |
| 1952966368 | Amber Pauline Costello | Occupational Therapist | 6347 St Peters Church Rd, Conover, NC 28613-8862 | 2019-05-01 |
| Find all providers in CONOVER | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981486 | Sandra Jean Murray | Registered Nurse | 26946 Crocker Lndg, Columbia Station, OH 44028-9207 | 2020-10-30 |
| 1144839150 | Anne Keil Raley | Registered Nurse | 3419 Ridge Park Dr, Broadview Heights, OH 44147-2037 | 2020-07-26 |
| 1780229088 | Kavita K Singh | Registered Nurse | 4028 Sweet Shadow Ave, Gahanna, OH 43230-7399 | 2019-11-10 |
| 1669022349 | Sara Helene Pinney | Registered Nurse | 969 Reading Rd Ste H, Mason, OH 45040-2654 | 2019-09-16 |
| 1881258317 | Megan Kathleen Houle | Registered Nurse | 3855 Schooner Ct, Columbus, OH 43221-4814 | 2019-04-30 |
| 1124585302 | Debra Summers | Registered Nurse | 604 E Rich St, Columbus, OH 43215-5341 | 2019-02-25 |
| 1538667530 | Lauren Hope Damon | Registered Nurse | 1051 E College Ave, Westerville, OH 43081-2563 | 2018-01-25 |
| 1952798738 | Cynthia Sue Derifield | Registered Nurse | 56 Township Road 316, Ironton, OH 45638-8967 | 2015-04-20 |
| 1588088181 | Breck Marie Matteson | Registered Nurse | 562 Legends Row, Avon Lake, OH 44012-2269 | 2014-02-18 |
| 1528306115 | Kathryn Elizabeth Krull | Registered Nurse | 1517 Sunflower St, Lewis Center, OH 43035-7205 | 2013-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.