Active NPIIndividual providerSole proprietor

Jennifer Clark-Connor, PA

Physician Assistant in Manchester, Connecticut

NPI Number1083967483
Practice location
515 Middle Tpke W, Manchester, CT 06040-3816
Fax
—
Last updated
December 8, 2021

Jennifer Clark-Connor is a Physician Assistant based in Manchester, CT. Jennifer Clark-Connor practices in Manchester, CT and has the professional credentials of PA. The NPI Number for Jennifer Clark-Connor is 1083967483 and holds a License No. PA4999 (MA). The current practice location address for Jennifer Clark-Connor is 515 Middle Tpke W, Manchester, CT 06040-3816 and can be reached out via phone at 860-533-4176.

Provider Profile Details

NPI Number
1083967483
Provider Name
Jennifer Clark-Connor
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
515 Middle Tpke W, Manchester, CT 06040-3816
Phone Number
860-533-4176
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2012
Last Update Date
December 8, 2021
Certification Date
December 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
515 Middle Tpke W
Manchester, CT 06040-3816
Zip
06040-3816
Phone Number
860-533-4176
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
336 Shrewsbury St
Worcester, MA 01604-4647
City
Worcester
State
MA
Zip
01604-4647
Phone Number
508-368-7890
Fax Number
508-796-8111

License Information

License Number (1)
PA4999
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
2846
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Clark-Connor, PA?

The NPI number of Jennifer Clark-Connor, PA is 1083967483. It was assigned on October 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Jennifer Clark-Connor, PA?

Jennifer Clark-Connor, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA4999.

Where does Jennifer Clark-Connor, PA practice?

The practice location is 515 Middle Tpke W, Manchester, CT 06040-3816. The office can be reached at 860-533-4176 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083967483 directly on the NPPES registry website.

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