JESSICA LEE CLARK (NPI# 1568962306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568962306 |
| Entity Type | Individual |
| Full Name | JESSICA LEE CLARK |
| Credential | RN |
| Practice Address |
6011 Cielo Rnch San Antonio TX 78218-4161 |
| Practice Telephone | 9703011073 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 846871 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690906 | Jessica Clark | Doula | 343 N Main Ave, Gresham, OR 97030-7246 | 2020-02-04 |
| 1962054387 | Jessica Lynn Clark | Nurse Practitioner | 7219 N Litchfield Rd Bldg 11302nd, Luke Air Force Base, AZ 85309-1529 | 2019-07-16 |
| 1811416076 | Jessica Clark | Counselor | 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 | 2017-09-19 |
| 1124572821 | Jessica Clark | Specialist | 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 | 2016-08-10 |
| 1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
| 1942612296 | Jessica Clark | Case Management | 620 John Austin Ln, Mt Washington, KY 40047-6354 | 2014-05-21 |
| 1154610269 | Jessica Clark | Social Worker | 55 Floyd Ave, Riverside, RI 02915-2927 | 2011-03-30 |
| 1346558780 | Jessica Clark | Dietitian, Registered | 187-191 Main Street, Ste 300, Emmaus, PA 18049-4017 | 2010-09-20 |
| 1760794309 | Jessica Michelle Clark | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2010-07-12 |
| 1740449719 | Jessica Lynn Clark | Dermatology | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2008-06-05 |
| Street Address |
6011 CIELO RNCH |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78218-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901516 | Kenny Garza | Counselor | 5000 Walzem Rd, San Antonio, TX 78218 | 2020-08-06 |
| 1922507425 | Vanessa C Smith | Specialist/Technologist | 5110 Walzem Rd, Windcrest, TX 78218 | 2018-02-09 |
| 1245696616 | Timothy Myers | Pharmacist | 6520 Pratt Rd, San Antonio, TX 78218 | 2016-01-14 |
| 1063809622 | Stateserv Medical of San Antonio | Durable Medical Equipment & Medical Supplies | 4338 Tejasco Drive, San Antonio, TX 78218 | 2015-04-22 |
| 1053720821 | Riham Elfiky | Secured Medical Transport (VAN) | 2122 Austin Hwy, San Antonio, TX 78218 | 2014-08-06 |
| 1659785129 | Gwendolyn Bolden | Rehabilitation Practitioner | 4615 Walzem Road, 207, San Antonio, TX 78218 | 2014-06-12 |
| 1659798833 | Carlos Reynaldo Guerrero | Physician Assistant | 3453 N Pan Am Expy, San Antonio, TX 78218 | 2014-03-25 |
| 1073936050 | Wal-mart Stores Texas Lp | Technician/Technologist | 5626 Walzem Road, San Antonio, TX 78218 | 2014-01-28 |
| 1225370968 | Wendy M Voisin | Pharmacist | 6520 Fratt Rd., San Antonio, TX 78218 | 2013-03-20 |
| 1376817999 | Peter Joseph Ness | Ophthalmology | 8239 Campobello Dr, San Antonio, TX 78218 | 2012-02-29 |
| Find all providers in zip 78218 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164620 | Michelle Porter Douglas | Registered Nurse | 511 Denver Blvd, San Antonio, TX 78210-2105 | 2020-11-05 |
| 1972104560 | Andrea Flores | Registered Nurse | 9618 Emerald Pl, San Antonio, TX 78245-1176 | 2020-11-02 |
| 1982204731 | Kathleen Marie Calara | Registered Nurse | 2326 York Bnd, San Antonio, TX 78245-4417 | 2020-10-30 |
| 1780283234 | Daniel Manesh | Registered Nurse | 9414 Pegasus Run Rd, San Antonio, TX 78254-6216 | 2020-10-25 |
| 1639778798 | Kimberly Marie Tench | Registered Nurse | 14827 Turkey Trl, San Antonio, TX 78232-4510 | 2020-10-20 |
| 1588262141 | Shakera Guidry | Registered Nurse | 4234 Wildt Rd, San Antonio, TX 78222-1124 | 2020-10-15 |
| 1720686678 | Agnes Boachie | Registered Nurse | 3787 Perrin Central Blvd Apt 335, San Antonio, TX 78217-2400 | 2020-10-13 |
| 1275130429 | Ashley Cristine Taylor | Registered Nurse | 4902 Corian Springs Dr, San Antonio, TX 78247-5669 | 2020-10-01 |
| 1609482694 | Antonio Arteaga Garcia | Registered Nurse | 4400 Horizon Hill Blvd Apt 4003, San Antonio, TX 78229-2251 | 2020-09-16 |
| 1417562539 | Lolita Magtoto Domingo | Registered Nurse | 4522 Bexley Trl, San Antonio, TX 78259-2082 | 2020-09-15 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78218 |
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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.