DR. JENNIFER ANNE CLARK


Address: 1701 Senate Blvd, Indianapolis, IN 46202-1239
Phone: 3179628881

DR. JENNIFER ANNE CLARK (NPI# 1619468808) 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) 1619468808
Entity Type Individual
Full Name DR. JENNIFER ANNE CLARK
Credential MD
Practice Address 1701 Senate Blvd
Indianapolis
IN 46202-1239
Mailing Address 1633 N Capitol Ave Ste 640
Indianapolis
IN 46202-1281
Practice Telephone 3179628881
Mailing Telephone 3179628881
Mailing Fax Number 3179620838
Enumeration Date 2018-05-23
Last Update Date 2018-05-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JENNIFER CLARK

NPI Name Taxonomy Address Enumeration
1932723038 Jennifer Michelle Clark Social Worker 22 Norva Ave, Frederick, MD 21701-6279 2020-06-04
1982249926 Jennifer Rae Clark Nurse Practitioner 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 2019-11-13
1528546827 Jennifer Clark Technician 59 Forrester St Sw Apt B, Washington, DC 20032-2120 2018-07-30
1265940340 Jennifer Anne Clark Counselor 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 2018-01-11
1598118572 Jennifer Clark Internal Medicine 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 2016-07-14
1295124899 Jennifer Clark Behavioral Analyst 662 Lake George Dr, Melbourne, FL 32940-2221 2015-01-20
1851707194 Jennifer Sara Clark Physical Therapist 797 Evergreen Dr, West Hempstead, NY 11552-3406 2014-07-08
1083988794 Jennifer Makiki Clark Health Educator 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 2012-02-27
1639484520 Jennifer Ann Clark Speech-Language Pathologist 5903 Neptune Dr, Fort Collins, CO 80525-3905 2010-08-16
1245567247 Jennifer Selleck Clark Nurse Practitioner 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 2009-11-11

Office Location

Street Address 1701 SENATE BLVD
City INDIANAPOLIS
State IN
Zip Code 46202-1239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497738181 Joyce Ann Pittman Nurse Practitioner 1701 Senate Blvd, B250, Indianapolis, IN 46206-1367 2005-11-28
1679032122 Ronnie Kraus Clinical Nurse Specialist 1701 Senate Blvd, Indianapolis, IN 46202-1239 2019-03-14
1316421100 Katherine Curtis Pharmacist 1701 Senate Blvd, Indianapolis, IN 46202-1239 2018-09-18
1639659444 Katherine Elaine Frederick Advanced Practice Midwife 1701 Senate Blvd, Indianapolis, IN 46202-1239 2018-08-21
1639609266 Carter Evan Duggan Emergency Medicine 1701 Senate Blvd, Indianapolis, IN 46202-1239 2017-06-15
1356893929 Ke Yang Nurse Practitioner 1701 Senate Blvd, C6, Indianapolis, IN 46202-1239 2016-10-31
1275897688 Jamie Ann Harrison Anesthesiology 1701 Senate Blvd, Methodist Hospital Box 1367, Indianapolis, IN 46202-1239 2012-06-29
1174807267 Thomas Spaethe Registered Nurse 1701 Senate Blvd, Indianapolis, IN 46202-1239 2011-10-06
1588958078 Jill Anne Odenthal Sracic Emergency Medicine 1701 Senate Blvd, Indianapolis, IN 46202-1239 2011-06-02
1497956817 Susan T Crook Radiology 1701 Senate Blvd, Suite 1204a, Indianapolis, IN 46202-1239 2007-05-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
Find all providers in zip 46202

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255938197 Christopher Rodney West Student in an Organized Health Care Education/Training Program 8616 Burrell Ln, Indianapolis, IN 46256-6306 2020-10-05
1285241828 Paris Janee Avant Student in an Organized Health Care Education/Training Program 8926 Mario Creek Dr, Indianapolis, IN 46234 2020-09-28
1992318158 Maria Yvette Borden Student in an Organized Health Care Education/Training Program University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 2020-08-27
1457963563 Janelle M Bonitati Student in an Organized Health Care Education/Training Program 914 E 50th St, Indianapolis, IN 46205-1112 2020-08-19
1629688718 Krisha Anne Retherford Student in an Organized Health Care Education/Training Program 4548 Sundance Trl, Indianapolis, IN 46239-9716 2020-08-04
1740806132 Vanessa Renee Ianson Student in an Organized Health Care Education/Training Program 325 Bangor Dr, Indianapolis, IN 46227-2423 2020-06-22
1881219475 Stephanie Scalf Student in an Organized Health Care Education/Training Program 4912 E 69th St, Indianapolis, IN 46220-3826 2020-06-10
1831719863 Austin Martin Henderson Student in an Organized Health Care Education/Training Program 1520 N Senate Ave Dept Of, Indianapolis, IN 46202-2213 2020-04-20
1194344572 Kaitlyn Edwards Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr # 5837, Indianapolis, IN 46202-5109 2020-04-15
1700405347 Russell Reed Student in an Organized Health Care Education/Training Program 1120 W Michigan St Ste 630, Indianapolis, IN 46202-5209 2020-04-14
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46202

Improve Information

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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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