JESSICA CLARK DNP PMHNP-BC NPI 1982198610

NPI Information

NPI: 1982198610
Provider Name: JESSICA CLARK, DNP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1791 ALUM CREEK DR
COLUMBUS, OH
ZIP 43207
Phone: (614) 445-8131
Get Directions

Jessica Clark, DNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Columbus, OH. Jessica Clark, DNP, PMHNP-BC NPI is 1982198610. 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:

1791 ALUM CREEK DR
COLUMBUS, OH
ZIP 43207-757
Phone: (614) 445-8131

The NPI 1982198610 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 6/16/2018 and was last updated on 9/26/2020.

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	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	RN.438874	OHIO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN.CNP.0027330	OHIO	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	Other Provider Identifier Issuer
1	1962855452	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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