Jennifer Jean Clark (NPI# 1730631490, PAC ID# 6305126335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1730631490 |
PAC ID by PECOS | 6305126335 |
Professional Enrollment ID | I20161209000870 |
Full Name | Jennifer Jean Clark |
Organization Legal Name | CENTRAL UTAH CLINIC P C |
Address |
1055 N 500 Provo UT 84604-3305 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 7517868508 |
Number of Group Practice Members | 333 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
500124 | EVERGREEN HOSPITAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1055 N 500, Provo, UT 84604-3305 | CENTRAL UTAH CLINIC P C |
Organization Legal Name | CENTRAL UTAH CLINIC P C |
Physicians | 327 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cameran Rachelle Wilson | Nurse Practitioner | Central Utah Clinic P C | 5896 S Ridgeline Dr, Suite B, South Ogden, UT 84405-4928 |
Brandon Houtz Rawlings | Qualified Audiologist | Central Utah Clinic P C | 1175 E 50, Suite 211, American Fork, UT 84003-2845 |
Vanessa May Dexter | Nurse Practitioner | Central Utah Clinic P C | 1152 E 200, American Fork, UT 84003-2004 |
Arlene Johnston | Nurse Practitioner | Central Utah Clinic P C | 97 Professional Way, Suite 2, Payson, UT 84651-1680 |
Drake Scott Mason | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
Debra Ann Ledingham | Nurse Practitioner | Central Utah Clinic P C | 1886 W 800, Pleasant Grove, UT 84062-4097 |
Evangeline K Lindorf | Nurse Practitioner | Central Utah Clinic P C | 159 N 400, Suite B 8, Orem, UT 84057-1909 |
Nicholas Paul Wittwer | Physician Assistant | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
Ekaete Sunday Udodong | Nurse Practitioner | Central Utah Clinic P C | 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005-5531 |
Scott David Peterson | Family Medicine | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
Street Address |
1055 N 500 |
City | PROVO |
State | UT |
Zip | 84604-3305 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicholas Paul Wittwer | Physician Assistant | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
Stephen Jason Tomlinson | Physical Therapy | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
Evan S Nielsen | Orthopedic Surgery | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
Garry Tim Miller Ii | Internal Medicine | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
Leslee Ronald Adams | Nurse Practitioner | Central Utah Clinic P C | 1055 N 500, Suite 211, Provo, UT 84604-3305 |
Jim D Crowley | Urology | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
Brent Richard Butler | Physical Therapy | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
Valynn Christina Haslam | Nurse Practitioner | Central Utah Clinic P C | 1055 N 500, Suite 212, Provo, UT 84604-3305 |
Elizabeth A Larsen | Nurse Practitioner | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
David T Brockbank | Ophthalmology | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Nathan T Rich | Medical Oncology | Utah Cancer Specialists PC | 395 W Bulldog Blvd, Suite 103, Provo, UT 84604 |
James G Theurer | Ophthalmology | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
Todd B Engen | Ophthalmology | 1735 N State St, Suite 201, Provo, UT 84604-1010 | |
Dell C Morris | Optometry | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
William S Lohner | Ophthalmology | Central Utah Eye Associates | 1735 N State St, Provo, UT 84604-1010 |
Jared T Clegg | Podiatry | Utah Podiatry Group, P.C. | 1973 N State St, Provo, UT 84604-1012 |
Stephanie Wilson | Physician Assistant | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
Shelly L Savage | Family Medicine | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
Natalie K Thompson | Nurse Practitioner | Shelly Savage Md, LLC | 1900 N State St, Provo, UT 84604-1305 |
Shelley Day | Nurse Practitioner | Aaron Robinson Do Pllc | 1900 N State St, Provo, UT 84604-1305 |
Find all physicians in zip 84604 |
City | PROVO |
Zip Code | 84604 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | PROVO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer Jean Clark.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.