JEANNINE CLARK


Address: 1000 Locust St, Reno, NV 89502-2597
Phone: 7757867200

JEANNINE CLARK (NPI# 1972537645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972537645
Entity Type Individual
Full Name JEANNINE CLARK
Credential APN
Practice Address 1000 Locust St
Reno
NV 89502-2597
Mailing Address 2000 Greensburg Cir
Reno
NV 89509-6840
Practice Telephone 7757867200
Mailing Telephone 7753241533
Enumeration Date 2006-07-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
APN00030 NV Physician Assistants & Advanced Practice Nursing Providers

Other Providers JEANNINE CLARK

NPI Name Taxonomy Address Enumeration
1457389892 Jeannine Avis Clark Pediatrics 6915 Laurel Bowie Road, Suite 301, Bowie, MD 20715 2006-06-28

Office Location

Street Address 1000 LOCUST ST
City RENO
State NV
Zip Code 89502-2597

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013903053 Arthur L Allen Pharmacist 1000 Locust St, Pharmacy 119, Reno, NV 89502-2597 2005-09-26
1356952857 Michelle Monique Reynolds Nurse Practitioner 1000 Locust St, Reno, NV 89502-2597 2020-08-10
1316300841 Lisa Papa Registered Nurse 1000 Locust St, Reno, NV 89502-2597 2016-04-01
1407148471 Sean Edward Walsh Dietitian, Registered 1000 Locust St, Reno, NV 89502-2597 2011-05-10
1073804142 Michelle E Moody Dietitian, Registered 1000 Locust St, Reno, NV 89502-2597 2011-04-25
1083903678 Faisal M. Siddiqui Internal Medicine 1000 Locust St, Dept. of Internal Medicine, Reno, NV 89502-2597 2011-04-04
1952690117 Philip T Phu Student in an Organized Health Care Education/Training Program 1000 Locust St, Dept of Internal Medicine, Reno, NV 89502-2597 2011-03-28
1629377288 Muhammad A. Waqar Student in an Organized Health Care Education/Training Program 1000 Locust St, M/s 18, Reno, NV 89502-2597 2011-03-22
1821398637 Tiffany Johnson Social Worker 1000 Locust St, Reno, NV 89502-2597 2010-10-26
1548577547 Veteran's Hospital Reno Nevada General Acute Care Hospital 1000 Locust St, Reno, NV 89502-2597 2010-09-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992314264 State of Nevada Community/Behavioral Health 4600 Kietzke Lane Bldg D, Reno, NV 89502 2020-07-23
1447879259 Ryan Johnson Student in an Organized Health Care Education/Training Program 1155 Mill St. W-11, Reno, NV 89502 2020-04-11
1396378063 Domingko Loney Chore Provider 1325 Air Motive Wat St 262, Reno, NV 89502 2020-02-20
1053954842 Derek Craig Home Health Aide 1000 Havard Way #29, Reno, NV 89502 2019-10-24
1477108124 Marisa Rachael Traversie Nurse Practitioner 910 Vista Boulevard, Sparks, NV 89502 2019-08-08
1912564675 Patrick Llewellyn Merrill Social Worker 975 Kirman Ave - Ch 116, Reno, NV 89502 2019-05-28
1881154706 Naresh Kumar Veerabattini Student in an Organized Health Care Education/Training Program 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 2019-03-25
1053899187 Daphne London Behavioral Analyst 1325 Airmotive Way Ste 260, Reno, NV 89502 2018-07-31
1790271609 Jennifer J Padolina Optometrist 2296 Kietzke Ln, Reno, NV 89502 2018-07-03
1336630185 Lindsey Cherie Cooper Technician 3563 Sol Grande Ct, Reno, NV 89502 2018-05-27
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184241226 Jillian Rose Castillo Nurse Practitioner 1005 Terminal Way Ste 184, Reno, NV 89502-2179 2020-07-05
1225048184 Charles A Sheeley II Nurse Practitioner 50 Kirman Ave, Reno, NV 89502-1175 2006-08-09
1336150275 Brenda Ann Pugsley Nurse Practitioner 5250 Neil Rd., #207, Reno, NV 89502-6556 2006-08-09
1053931386 Jennifer Leilani Griffo Nurse Practitioner 1500 E 2nd St Ste 400, Reno, NV 89502-1198 2020-04-16
1265081756 Deanna M. Whitehorn Nurse Practitioner 3101 Plumas St, Reno, NV 89509-4515 2019-09-06
1700364338 Rachel A Chattin Nurse Practitioner 5590 Kietzke Ln, Reno, NV 89511-3019 2018-08-06
1811416738 Ann Egan Nurse Practitioner 5560 Kietzke Ln Bldg A, Reno, NV 89511 2017-09-12
1619337573 Caleb Frink Nurse Practitioner 1155 Mill St, Reno, NV 89502-1576 2016-03-03
1669483327 Laura J Sheeley Nurse Practitioner 50 Kirman Ave, Reno, NV 89502-1175 2006-08-10
1609809128 Kimberly Edith Hathcock Nurse Practitioner 5250 Neil Rd, Ste 207, Reno, NV 89502-6556 2006-07-08
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Competitor

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City RENO
Zip Code 89502

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Dataset Information

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.

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