DR. JESSICA LYNN CLARK


Address: 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609
Phone: 8506543376

DR. JESSICA LYNN CLARK (NPI# 1740449719) 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) 1740449719
Entity Type Individual
Full Name DR. JESSICA LYNN CLARK
Credential MD
Practice Address 12139 Panama City Beach Pkwy
Panama City Beach
FL 32407-2609
Mailing Address 12469 Emerald Coast Pkwy W
Miramar Beach
FL 32550-8305
Practice Telephone 8506543376
Practice Fax Number 8506543320
Mailing Telephone 8506543376
Mailing Fax Number 8506543320
Enumeration Date 2008-06-05
Last Update Date 2016-05-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology ME127249 FL Allopathic & Osteopathic Physicians
N 207N00000X Dermatology N3566 TX Allopathic & Osteopathic Physicians

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 12139 PANAMA CITY BEACH PKWY
City PANAMA CITY BEACH
State FL
Zip Code 32407-2609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487011722 Doug Guilbault Chiropractor 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 2016-01-18
1518322700 Kyle Gavin Rountree Nurse Practitioner 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 2015-12-15
1770985509 Samuel David Kranz Chiropractor 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 2014-09-24
1295165983 Mikala Weatherhead Chiropractor 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 2013-11-18
1083984736 Brian Scott Farrell Chiropractor 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 2012-01-11
1639447253 Christopher Ohsie Chiropractor 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 2011-12-09
1235434945 Paige M Hanger Chiropractor 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 2011-01-12
1922003789 Sylvia M Smith Chiropractor 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 2005-06-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235637497 Beach Midway Med Express Internal Medicine 11038 Hutchison Blvd, Panama City, FL 32407 2018-01-23
1225497365 Shae Nicole Luster Counselor 415 N Richard Jackson Blvd Ste 204, Panama City Beach, FL 32407 2016-02-17
1447675988 Nicoleta M Tatum Nurse Practitioner 140 N Richard Jackson Blvd, Panama City Beach, FL 32407 2014-02-20
1528482361 Best Care Home Health of Panama City LLC Home Health 12216 Panama City Parkway Unit B, Panama City Beach, FL 32407 2014-02-14
1134463482 Panhandle Orthopaedics LLC Pediatrics 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 2012-11-26
1215296983 Jennifer Lynn Holloran Speech-Language Pathologist 8317 Front Beach Road Suite 34c, Panama City Beach, FL 32407 2012-05-15
1295043248 Candida Jill Pratt Massage Therapist 10200 Clarence St., Suite B, Panama City Beach, FL 32407 2010-09-23
1326275843 Richard Lee Giffin Registered Nurse 1625 Vecuna Cir, Panama City Beach, FL 32407 2009-06-11
1649455726 Holiday Cvs LLC Durable Medical Equipment & Medical Supplies 11801 Panama City Beach Pkwy., Panama City Beach, FL 32407 2008-01-08
1891915740 Cambridge Carruth Physical Therapist 120 R Jackson Bvld., Ste. 130, Panama City Beach, FL 32407 2007-04-25
Find all providers in zip 32407

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922346956 Gulf Coast Dermatology & Skin Care Centre Pllc Dermatology 10800 Panama City Beach Pkwy, Suite 200, Panama City Beach, FL 32407-2533 2013-01-25
1053610550 Dermatology Associates of Bay County, P.a. Dermatology 12234 Panama City Beach Pkwy, Suite D, Panama City Beach, FL 32407-2725 2011-03-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962002154 Precision Skin LLC Dermatology 3501 S University Dr Ste 5, Davie, FL 33328-2001 2020-10-28
1487252417 Janice Reaume Dermatology 3335 Imperial Manor Way, Mulberry, FL 33860-5519 2020-10-12
1922617729 Synergymd, LLC Dermatology 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 2020-07-28
1518585447 Alexander F Wong Dermatology 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 2020-07-07
1508495003 Elite Dermatology Dermatology 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 2020-04-06
1124668371 Meaghan Margaret Birakis Dermatology 3319 Fl-7 #202, Wellington, FL 33449 2020-01-15
1396380044 Suzanne Marie Smith Dermatology 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 2019-11-15
1376188383 Enchantress Dermatology, Inc. Dermatology 241 Nw 119 Ave, Miami, FL 33182-1329 2019-11-13
1699319988 Revivify Dermatology, LLC Dermatology 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 2019-10-30
1841833928 Carly Marie Maher Dermatology 90 Cypress Way E Ste 50, Naples, FL 34110-9275 2019-10-22
Find all providers with the same taxonomy

Competitor

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City PANAMA CITY BEACH
Zip Code 32407

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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