DR. JENNIFER A CLARK (NPI# 1962522664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962522664 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER A CLARK |
| Credential | MD |
| Practice Address |
9755 Courthouse Rd Suite 101 Spotsylvania VA 22553 |
| Practice Telephone | 5408989680 |
| Practice Fax Number | 5408989699 |
| Mailing Telephone | 5408989680 |
| Mailing Fax Number | 5408989699 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2435761 | NY | Allopathic & Osteopathic Physicians |
| 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 |
9755 COURTHOUSE RD SUITE 101 |
| City | SPOTSYLVANIA |
| State | VA |
| Zip Code | 22553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023315710 | Vicky Lynne Wilder | Counselor | 8913 Blvd of The General, Spotsylvania, VA 22553 | 2011-02-16 |
| 1851616528 | Pl Physicians, Inc. | Pediatrics | 9671 Courthouse Rd, Suite 113, Spotsylvania, VA 22553 | 2010-04-06 |
| 1699967570 | Amy Lea Cummings-hesse | Massage Therapist | 10411 Court House Road, Suite C, Spotsylvania, VA 22553 | 2007-08-14 |
| 1376769703 | Susan M Sablon | Physical Therapy Assistant | 195 Falcon Dr., Fredericksburg, VA 22553 | 2007-04-17 |
| 1174686851 | Nandini Malghan | Dentist | 10454 Hilltop Plaza Way, Spotsylvania, VA 22553 | 2006-12-18 |
| 1639270911 | John Herbert Coker Jr. | Dentist | 10472 Georgetown Drive, Spotsylvania, VA 22553 | 2006-09-26 |
| 1306890587 | Spotsylvania County Board of Supervisors | Ambulance | 8800 Courthouse Road, Rm 414, Spotsylvania, VA 22553 | 2006-05-20 |
| 1780652370 | Jeffrey D Day | Dentist | 10466 Georgetown Drive, Spotsylvania, VA 22553 | 2006-03-09 |
| 1295238186 | Naureen Mehdi | Physician Assistant | 9763 Courthouse Rd, Spotsylvania, VA 22553 | 2018-03-16 |
| 1063604866 | Healing Hands Therapeutic Massage, LLC. | Massage Therapist | 10411 Court House Road, Suite C, Spotsylvania, VA 22553 | 2007-08-15 |
| Find all providers in zip 22553 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851616528 | Pl Physicians, Inc. | Pediatrics | 9671 Courthouse Rd, Suite 113, Spotsylvania, VA 22553 | 2010-04-06 |
| 1780670075 | Nimali E Fernando | Pediatrics | 10482 Georgetown Dr, Spotsylvania, VA 22553-1748 | 2005-09-22 |
| 1295165298 | Nimali Fernando Md Plc | Pediatrics | 10482 Georgetown Dr, Spotsylvania, VA 22553-1748 | 2013-11-13 |
| 1093731689 | Kids Choice Pediatrics, P.C. | Pediatrics | 10411 Courthouse Rd, Suite A, Spotsylvania, VA 22553-1798 | 2006-07-15 |
| 1497791032 | Lori Leigh Van Horn | Pediatrics | 10411 Courthouse Rd, Suite A, Spotsylvania, VA 22553-1798 | 2006-06-21 |
| 1518957448 | Suzanne Richman | Pediatrics | 10411 Courthouse Rd, Suite A, Spotsylvania, VA 22553-1798 | 2005-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183303 | Charles Eshel Stith IIi | Pediatrics | 317 Middle Oaks Dr, Chesapeake, VA 23322-7502 | 2020-11-01 |
| 1962002717 | Caylee Cook | Pediatrics | 9900 Independence Park Dr Ste 100, Richmond, VA 23233-1473 | 2020-10-30 |
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1134738602 | Lolita Lopez | Pediatrics | 43547 Freeport Pl, Sterling, VA 20166-2160 | 2020-07-30 |
| 1184252330 | Arlene Marie Lorica | Pediatrics | 7902 Tysons One Pl Unit 2613, Mc Lean, VA 22102-5239 | 2020-03-31 |
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1649817636 | Susan Jane Argyle | Pediatrics | 7501 Little River Tpke Ste 202, Annandale, VA 22003-2923 | 2019-12-09 |
| 1003477621 | Deborah Williams Ward | Pediatrics | 1810 Plain View Rd, Henrico, VA 23238-4152 | 2019-06-25 |
| 1467012120 | Keith Henry | Pediatrics | 23458 Cool Water Dr, Ruther Glen, VA 22546-3325 | 2019-06-15 |
| Find all providers with the same taxonomy | ||||
| City | SPOTSYLVANIA |
| Zip Code | 22553 |
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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.