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Jennifer M. Clark, RN,FNP
Nurse Practitioner in Santa Rosa, California
NPI 1437335551

Jennifer M. Clark is a Nurse Practitioner based in Santa Rosa, CA. Jennifer M. Clark practices in Santa Rosa, CA and has the professional credentials of RN,FNP. The NPI Number for Jennifer M. Clark is 1437335551 and holds a License No. 740722 (California).

The current practice location address for Jennifer M. Clark is 500 Doyle Park Dr Ste G04, Santa Rosa, CA and can be reached out via phone at 707-303-8349 and via fax at 707-303-2694.

Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA, 95405-4559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437335551
Provider Name
Jennifer M. Clark
Credential
RN,FNP
Provider Entity Type
Individual
Gender
Female
Address
500 Doyle Park Dr Ste G04, Santa Rosa, CA, 95405-4559
Phone Number
707-303-8349
Fax Number
707-303-2694
Provider Enumeration Date
01/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
193487901 05 TX
8Y5099 01 TX BCBS
P00622287 01 TX RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
500 Doyle Park Dr Ste G04
City
Santa Rosa
State
California
Zip
95405-4559
Phone Number
707-303-8349
Fax Number
707-303-2694
person
Provider Business Mailing Address Details
Address
500 Doyle Park Dr Ste G04
City
Santa Rosa
State
California
Zip
95405-4559
Phone Number
707-303-8349
Fax Number
707-303-2694
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
740722 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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