JENNIFER LIN CLARK (NPI# 1417314683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417314683 |
| Entity Type | Individual |
| Full Name | JENNIFER LIN CLARK |
| Credential | ARNP |
| Practice Address |
1201 W Agency Rd West Burlington IA 52655-1645 |
| Practice Telephone | 3197544242 |
| Mailing Telephone | 3197544242 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 122213 | IA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A122213 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
| 1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
| 1265940340 | Jennifer Anne Clark | Counselor | 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 | 2018-01-11 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
| 1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
| 1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
| 1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
| 1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
| Street Address |
1201 W AGENCY RD |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003003 | Timothy J Hunter | Family Medicine | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2005-06-16 |
| 1487137428 | Urime Mehmedi | Nurse Practitioner | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2018-09-14 |
| 1710379995 | Mel Davis Schiefer | Counselor | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2015-02-25 |
| 1083021372 | Nicole Ann Ferrill | Nurse Practitioner | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2014-07-18 |
| 1275953937 | Anjali Katiyar Sobti | Family Medicine | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2014-04-21 |
| 1780998450 | Maricris Enriquez Lapinid | Family Medicine | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2010-08-04 |
| 1467639179 | Kathy Ibeth Rashid | Physician Assistant | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2008-01-24 |
| 1396862579 | Michael J Baird | Psychologist | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2007-03-23 |
| 1386712149 | Thomas C Boyd | Family Medicine | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2006-12-01 |
| 1417025230 | Great River Medical Services | Family Medicine | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1750900809 | Logan Taylor Chiri | Nurse Practitioner | 1225 S Gear Ave, West Burlington, IA 52655-1691 | 2020-04-09 |
| 1023641172 | Christa Wiggins | Nurse Practitioner | 1706 W Agency Rd, West Burlington, IA 52655-1667 | 2020-02-18 |
| 1356980031 | Justine Link | Nurse Practitioner | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-30 |
| 1336625078 | Virginia Lehleitner Slaughter | Nurse Practitioner | 1706 W Agency Rd, West Burlington, IA 52655 | 2018-07-16 |
| 1740770726 | Kimberly Krieger | Nurse Practitioner | 1706 W Agency Rd, West Burlington, IA 52655-1667 | 2018-05-15 |
| 1801307038 | Sarah Wingate | Nurse Practitioner | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2017-10-16 |
| 1689115727 | Meredith Alicia Lee | Nurse Practitioner | 1223 S Gear Ave, #304, West Burlington, IA 52655-1682 | 2017-03-08 |
| 1902355233 | Christina Metternich | Nurse Practitioner | 1221 S Gear Ave, West Burlington, IA 52655-1681 | 2016-09-28 |
| 1083168967 | Brandy Parker | Nurse Practitioner | 1223 S Gear Ave, Eastman Plaza, Suite 304, West Burlington, IA 52655-1682 | 2016-08-09 |
| Find all providers in WEST BURLINGTON | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
Please comment or provide details below to improve the information on JENNIFER LIN CLARK.
| 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.