JACQUELYN M CLARK (NPI# 1598390635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598390635 |
| Entity Type | Individual |
| Full Name | JACQUELYN M CLARK |
| Credential | RN |
| Practice Address |
1228 Walnut St Apt 2 Cincinnati OH 45202-7135 |
| Mailing Address |
Po Box 14096 Cincinnati OH 45250-0096 |
| Practice Telephone | 5137662631 |
| Mailing Telephone | 5137662631 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN450440 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245768415 | Jacquelyn Clark | Specialist | 2000 N Beltline Blvd Apt 102e, Columbia, SC 29204-3976 | 2017-05-31 |
| 1952704744 | Jacquelyn Clark | Speech-Language Pathologist | 909 University Dr S, Huron, OH 44839-9172 | 2014-10-07 |
| 1467503334 | Jacquelyn Irene Clark | Licensed Practical Nurse | 48696 Benwood Rd, Sardis, OH 43946-9638 | 2007-01-16 |
| 1275872327 | Jacquelyn Marie Clark | Occupational Therapist | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2013-02-10 |
| 1356673263 | Jacquelyn J Clark | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2010-02-02 |
| Street Address |
1228 WALNUT ST APT 2 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45202-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558067 | Courtney Stepp | Social Worker | 907 Vine St, Cincinnati, OH 45202 | 2019-06-27 |
| 1447726427 | Mark Kirby | Optometrist | 2045 Gilbert Avenue, Cincinnati, OH 45202 | 2018-10-17 |
| 1497233100 | Michael Mcmanus | Specialist/Technologist, Other | 8118 Corporate Way Suite 212, Evokes LLC, Cincinnati, OH 45202 | 2018-08-03 |
| 1891293924 | Samuel Thomas Tedtman | Specialist/Technologist | Great American Ball Park, 100 Joe Nuxhall Way, Cincinnati, OH 45202 | 2018-01-23 |
| 1013431006 | Shannon Kiniyalocts | Social Worker | 2208 Reading Road, Cincinnati, OH 45202 | 2017-08-01 |
| 1760937353 | Joyce Ann Thieman | Social Worker | 504 Hiberty Hill, Cincinnati, OH 45202 | 2016-08-24 |
| 1659825156 | Alicia Carver | Counselor | 911 Sycamore St # 400, Cincinnati, OH 45202 | 2016-08-12 |
| 1861836546 | Jeffrey Herbert Finke | Pharmacist | 945 Parkside Place, Apt 5, Cincinnati, OH 45202 | 2013-04-24 |
| 1942597141 | Kristin Erin Pletcher | Physician Assistant | 644 Eden Park Drive, Cincinnati, OH 45202 | 2011-07-08 |
| 1144514654 | James A Kirby IIi | Pharmacist | 555 Race St, Cincinnati, OH 45202 | 2011-06-01 |
| Find all providers in zip 45202 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144703018 | Sarah Jeanne Ventura | Registered Nurse | 5752 Rhode Island Ave, Cincinnati, OH 45237 | 2018-09-07 |
| 1235644717 | Ronnie Robbins Jr. | Registered Nurse | 9891 Montgomery Rd, Cincinnati, OH 45242-6424 | 2017-12-06 |
| 1194180471 | Jeffrey Kuhn | Registered Nurse | 552 Picuda Ct, Cincinnati, OH 45238-5209 | 2015-12-30 |
| 1992047609 | Melissa Christine Sherrod | Registered Nurse | 230 Northland Blvd Ste 108, Cincinnati, OH 45246-3609 | 2013-03-20 |
| 1871876581 | Christina R Hernandez | Registered Nurse | 6988 Somerset Dr, Cincinnati, OH 45224-1740 | 2011-09-20 |
| 1710110879 | Anthony Mcilvoy Zaya | Registered Nurse | 4428 Ashland Ave # B, Cincinnati, OH 45212-3258 | 2009-08-24 |
| 1508467192 | Haley Lippmeier | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-02 |
| 1831799543 | Madison Erin Hubbard | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-30 |
| 1679193791 | Daniel Luke Rosekopanke | Registered Nurse | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-04-18 |
| 1992368245 | Duane Andrew Burton | Registered Nurse | 7500 State Rd, Cincinnati, OH 45255-2439 | 2019-04-22 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45202 |
Please comment or provide details below to improve the information on JACQUELYN M 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.