JESSICA MARION CLARK


Address: 2265 Como Ave, Saint Paul, MN 55108-1737
Phone: 8668210821

JESSICA MARION CLARK (NPI# 1457914160) 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) 1457914160
Entity Type Individual
Full Name JESSICA MARION CLARK
Credential PMHNP
Practice Address 2265 Como Ave
Saint Paul
MN 55108-1737
Mailing Address 1978 Adolphus St
Maplewood
MN 55117-1904
Practice Telephone 8668210821
Mailing Telephone 6517242905
Enumeration Date 2019-04-18
Last Update Date 2019-10-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
6747 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA CLARK

NPI Name Taxonomy Address Enumeration
1528690906 Jessica Clark Doula 343 N Main Ave, Gresham, OR 97030-7246 2020-02-04
1962054387 Jessica Lynn Clark Nurse Practitioner 7219 N Litchfield Rd Bldg 11302nd, Luke Air Force Base, AZ 85309-1529 2019-07-16
1568962306 Jessica Lee Clark Registered Nurse 6011 Cielo Rnch, San Antonio, TX 78218-4161 2018-02-19
1811416076 Jessica Clark Counselor 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 2017-09-19
1124572821 Jessica Clark Specialist 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 2016-08-10
1104286871 Jessica Clark Counselor 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 2016-02-24
1942612296 Jessica Clark Case Management 620 John Austin Ln, Mt Washington, KY 40047-6354 2014-05-21
1154610269 Jessica Clark Social Worker 55 Floyd Ave, Riverside, RI 02915-2927 2011-03-30
1346558780 Jessica Clark Dietitian, Registered 187-191 Main Street, Ste 300, Emmaus, PA 18049-4017 2010-09-20
1760794309 Jessica Michelle Clark Dentist 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 2010-07-12

Office Location

Street Address 2265 COMO AVE
City SAINT PAUL
State MN
Zip Code 55108-1737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821075359 Monique A Silver Psychologist 2265 Como Ave, Saint Paul, MN 55108-1737 2005-12-27
1578160081 Erica Schiller Freeman Student in an Organized Health Care Education/Training Program 2265 Como Ave, Saint Paul, MN 55108-1737 2020-10-07
1962030759 Amy Kathryn Barkley Student in an Organized Health Care Education/Training Program 2265 Como Ave, Saint Paul, MN 55108-1737 2020-03-29
1811543200 Meghan Goodman Dietitian, Registered 2265 Como Ave, Saint Paul, MN 55108-1737 2019-08-13
1962054437 Alexandra Pokorny Nurse Practitioner 2265 Como Ave, Saint Paul, MN 55108-1737 2019-07-15
1750943031 Alexis Lynn Weisser Dietitian, Registered 2265 Como Ave, Saint Paul, MN 55108-1737 2019-07-08
1750941423 Lauren Elizabeth Moody Psychologist 2265 Como Ave, Saint Paul, MN 55108-1737 2019-06-16
1326606864 Lindsay K Midura Nutritionist 2265 Como Ave, Saint Paul, MN 55108-1737 2019-05-30
1205393667 Amanda Hookom Dietitian, Registered 2265 Como Ave, Saint Paul, MN 55108-1737 2019-02-21
1588129506 Rebekah Jean Eller Marriage & Family Therapist 2265 Como Ave, Saint Paul, MN 55108-1737 2019-02-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306490677 Kyle Leonard Bernier Student in an Organized Health Care Education/Training Program 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 2019-07-25
1356870778 Kathleen Louise Kocon Marriage & Family Therapist 2230 Como Ave., Saint Paul, MN 55108 2017-06-08
1871965830 Jill Hansen Specialist 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 2015-10-29
1871821140 Angela Joyce Anderson Speech-Language Pathologist 2266 Hillside Avenue, Saint Paul, MN 55108 2009-11-25
1265769418 Dakota Baker Counselor 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 2009-11-09
1255583449 Suzanne Elizabeth Trunnell Nurse Practitioner 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 2008-10-21
1982851358 Kimberly Joy Bahma Pharmacist 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 2008-08-27
1952566093 Caring Professionals Homecare, LLC Home Health 1543 Como Ave Ste 101, Saint Paul, MN 55108 2008-07-28
1700077344 Archana Mani Dentist 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 2007-08-08
1457554735 Catherine Lawrence Scharlau Psychologist 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 2007-06-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427657139 Michael Omomo Nurse Practitioner 45 10th St W, Saint Paul, MN 55102-1062 2020-10-22
1992340194 Marit Leigh Throntveit Nurse Practitioner 45 10th St W, Saint Paul, MN 55102-1062 2019-11-12
1427692060 Susan Lee Borden Nurse Practitioner 1600 University Ave W Ste 12, Saint Paul, MN 55104-3898 2019-11-06
1932742400 Christina Froehling Nurse Practitioner 45 10th St W, Saint Paul, MN 55102-1062 2019-10-28
1962054437 Alexandra Pokorny Nurse Practitioner 2265 Como Ave, Saint Paul, MN 55108-1737 2019-07-15
1184191116 Deborah Garrido Nurse Practitioner 2265 Como Ave, Saint Paul, MN 55108-1737 2018-10-29
1801346093 Caroline Kuria Nurse Practitioner 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 2016-10-11
1851845283 Robert Scott Finn Nurse Practitioner 640 Jackson St, Saint Paul, MN 55101-2502 2016-08-15
1205200573 Anne Wheaton Nurse Practitioner 2550 University Ave W, Suite 229n, Saint Paul, MN 55114-1052 2015-11-23
1285078634 Sandra D Klein-hegge Nurse Practitioner 2550 University Ave W, Suite 229n, Saint Paul, MN 55114-1052 2013-04-28
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55108

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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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