DR. JENNIFER JOCELYN CLARK MD NPI 1336106053

NPI Information

NPI: 1336106053
Provider Name: DR. JENNIFER JOCELYN CLARK, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
2055 N HIGH ST
#340
DENVER, CO
ZIP 80205
Phone: (303) 832-2344
Get Directions

DR. Jennifer Jocelyn Clark, MD is a pediatric hematology-oncology pediatrics in Denver, CO. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Jennifer Jocelyn Clark, MD NPI is 1336106053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2055 N HIGH ST
#340
DENVER, CO
ZIP 80205-503
Phone: (303) 832-2344
Fax: (303) 832-3721

The NPI 1336106053 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 2/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	157630	MASSACHUSETTS	No
2	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	45919	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5326087	MEDICAID	NEW MEXICO
2	75034531	MEDICAID	COLORADO
3	1336106053	MEDICAID	WYOMING
4	657254089	MEDICAID	NEW MEXICO
5	10025570100	MEDICAID	NEBRASKA
6	1336106053	MEDICAID	SOUTH DAKOTA
7	125003100	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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