JENNIFER M CLARK RN NPI 1215659792

NPI Information

  • NPI: 1215659792
  • Provider Name: JENNIFER M CLARK, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 4025 OVERLOOK LN
    SUPERIOR, WI
    ZIP 54880
  • Phone: (218) 428-6850

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NPI Details

Jennifer M Clark, RN is a home health registered nurse in Superior, WI. Jennifer M Clark, RN NPI is 1215659792. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4025 OVERLOOK LN
SUPERIOR, WI
ZIP 54880-044
Phone: (218) 428-6850

The enumeration date for this NPI number is 9/13/2022 and was last updated on 9/13/2022.

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
1163WH0200XRegistered NurseHome Health1863039MINNESOTAYes

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: 11/21/2025

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