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MRS. JESSICA MARIE CLARK APRN NPI 1457007593


NPI Information

NPI: 1457007593
Provider Name: MRS. JESSICA MARIE CLARK, APRN
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
41 WILLOW FALLS TRL
PONTE VEDRA BEACH, FL
ZIP 32081
Phone: (352) 817-1452
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MRS. Jessica Marie Clark, APRN is a family medicine in Ponte Vedra Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MRS. Jessica Marie Clark, APRN NPI is 1457007593. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

41 WILLOW FALLS TRL
PONTE VEDRA BEACH, FL
ZIP 32081-401
Phone: (352) 817-1452

The enumeration date for this NPI number is 2/28/2022 and was last updated on 2/28/2022.


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
1207Q00000XFamily MedicineAPRN11018319FLORIDAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.