JESSICA ANN CLARK (NPI# 1568722528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568722528 |
| Entity Type | Individual |
| Full Name | JESSICA ANN CLARK |
| Credential | MD |
| Practice Address |
10115 Forest Hill Blvd Suite 300 Wellington FL 33414-3105 |
| Practice Telephone | 5613286165 |
| Practice Fax Number | 5613286091 |
| Mailing Telephone | 5613286165 |
| Mailing Fax Number | 5613286091 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 005428 | GA | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
10115 FOREST HILL BLVD SUITE 300 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545665 | Jerry Herbert Singer | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2005-06-01 |
| 1487194981 | Travel Medicine & Infectious Diseases of The Palm Beaches LLC | Internal Medicine | 10115 Forest Hill Blvd, Suite 102, Wellington, FL 33414-3105 | 2017-03-02 |
| 1417407446 | Erika Ruiz | Nurse Practitioner | 10115 Forest Hill Blvd, Ste 101, Wellington, FL 33414-3105 | 2016-10-13 |
| 1871964916 | 21st Century Oncology LLC | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2015-10-15 |
| 1750751996 | Teresa R Budny | Audiologist | 10115 Forest Hill Blvd, Suite 103, Wellington, FL 33414-3105 | 2015-09-30 |
| 1740692615 | Amy Herrod | Nurse Practitioner | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3105 | 2014-05-27 |
| 1245653971 | Abbi Pawelkoski | Dietitian, Registered | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3105 | 2014-01-31 |
| 1508112202 | Faris J. Fakhoury, Md, Pa | Neurological Surgery | 10115 Forest Hill Blvd, Suite 405, Wellington, FL 33414-3105 | 2012-07-31 |
| 1538462304 | Lake Worth Pain Center, Pa | Specialist | 10115 Forest Hill Blvd, Suite 102, Wellington, FL 33414-6178 | 2010-12-16 |
| 1255647475 | Patricia A Masse Md LLC | Surgery | 10115 Forest Hill Blvd, Suite 104, Wellington, FL 33414-3105 | 2010-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426883 | William Lockridge | Obstetrics & Gynecology | 13486 Exotica Ln, Wellington, FL 33414-8507 | 2015-05-15 |
| 1154505725 | Sara J Bernstein | Obstetrics & Gynecology | 10131 Forest Hill Blvd Ste 130, Wellington, FL 33414-6155 | 2007-12-19 |
| 1023017803 | Melissa E Carlson | Obstetrics & Gynecology | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2005-07-14 |
| 1558750281 | Institute for Women's Health and Body, LLC | Obstetrics & Gynecology | 1395 S State Road 7, Suite 450, Wellington, FL 33414-9325 | 2015-01-19 |
| 1164861977 | Denise Azucena Vilchez Cardenal | Obstetrics & Gynecology | 1447 Medical Park Blvd Ste 300, Wellington, FL 33414-3183 | 2013-06-14 |
| 1861771008 | Yocoima S Plaza | Obstetrics & Gynecology | 1395 S State Road 7, #450, Wellington, FL 33414-9325 | 2011-08-05 |
| 1073810289 | Florida Woman Care, LLC | Obstetrics & Gynecology | 1397 Medical Park Blvd, Suite 360, Wellington, FL 33414-3188 | 2011-02-24 |
| 1922275239 | Emilio B Torres Professional Association | Obstetrics & Gynecology | 1397 Medical Park Blvd, Suite 200, Wellington, FL 33414-3186 | 2008-05-15 |
| 1215115852 | Stacea N Bowen | Obstetrics & Gynecology | 1395 S State Road 7, Suite 450, Wellington, FL 33414-9325 | 2008-02-06 |
| 1053590489 | Debra B Balliram Manohalal | Obstetrics & Gynecology | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2007-11-01 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on JESSICA ANN CLARK.
| 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.