JENIFER LYNN CLARK (NPI# 1841703287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841703287 |
| Entity Type | Individual |
| Full Name | JENIFER LYNN CLARK |
| Credential | FNP |
| Practice Address |
2200 E Williams Field Rd Ste 200 Gilbert AZ 85295-0764 |
| Mailing Address |
41125 N Olive St San Tan Valley AZ 85140-7775 |
| Practice Telephone | 4808425133 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10668 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 E WILLIAMS FIELD RD STE 200 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-0764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649679853 | Karen Marie Trask | Nurse Practitioner | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2014-08-14 |
| 1427656370 | Serena Baker | Counselor | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2020-10-13 |
| 1518577535 | Kona Counseling | Counselor | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2020-08-04 |
| 1740817329 | Mary Patricia Weissmueller | Counselor | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2020-03-24 |
| 1881226827 | Morgan Mccall Mack | Marriage & Family Therapist | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2020-02-07 |
| 1588295679 | Michelle Schultz | Counselor | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2020-01-28 |
| 1598222879 | Kolette A Butler | Psychologist | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2019-02-22 |
| 1104301936 | Elizabeth C Hatch | Marriage & Family Therapist | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2018-09-27 |
| 1740771096 | Better Days Behavioral Health | Counselor | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2018-05-22 |
| 1881192896 | Jennifer Edwards Counseling Services | Clinic/Center | 2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295-0764 | 2018-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1417562844 | Maribeth Kitma Odango | Nurse Practitioner | 3937 E Frances Ln, Gilbert, AZ 85295-2786 | 2020-09-11 |
| 1720698293 | Helene Elizalde | Nurse Practitioner | 1539 E Hummingbird Way, Gilbert, AZ 85297-4601 | 2020-08-08 |
| 1003425273 | Monica Hulsey | Nurse Practitioner | 471 N 159th Pl, Gilbert, AZ 85234-5040 | 2020-07-23 |
| 1801414883 | Scott Braverman | Nurse Practitioner | 225 E Germann Rd Ste 140, Gilbert, AZ 85297-2906 | 2020-07-07 |
| 1467078139 | Racquel Jillian Spyr | Nurse Practitioner | 837 S Parkcrest St, Gilbert, AZ 85296-8839 | 2020-06-18 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| Find all providers in GILBERT | ||||
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| 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.