Active NPIIndividual provider

Prof. Jennifer L Clark, RN-BC

Registered Nurse in Worcester, Massachusetts

NPI Number1952927428
Practice location
12 Queen St, Worcester, MA 01610-2411
Fax
508-755-6905
Last updated
June 22, 2020

Jennifer Lee Clark is a Registered Nurse based in Worcester, MA. Jennifer Lee Clark practices in Worcester, MA and has the professional credentials of RN-BC. The NPI Number for Jennifer Lee Clark is 1952927428 and holds a License No. RN2286841 (MA). The current practice location address for Jennifer Lee Clark is 12 Queen St, Worcester, MA 01610-2411 and can be reached out via phone at 774-312-2423 and via fax at 508-755-6905.

Provider Profile Details

NPI Number
1952927428
Provider Name
Jennifer Lee Clark
Credential
RN-BC
Provider Entity Type
Individual
Gender
Female
Address
12 Queen St, Worcester, MA 01610-2411
Phone Number
774-312-2423
Fax Number
508-755-6905
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2020
Last Update Date
June 22, 2020
Certification Date
June 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Queen St
Worcester, MA 01610-2411
Zip
01610-2411
Phone Number
774-312-2423
Fax Number
508-755-6905
Worcester, MA 01610Get directions →

Provider Business Mailing Address Details

Address
162 Chandler St
Worcester, MA 01609-2924
City
Worcester
State
MA
Zip
01609-2924
Phone Number
774-312-2423
Fax Number
508-755-6905

License Information

License Number
RN2286841
License State
MA
Taxonomy
Registered Nurse · 163W00000X · Primary

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 Prof. Jennifer L Clark, RN-BC?

The NPI number of Prof. Jennifer L Clark, RN-BC is 1952927428. It was assigned on June 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Prof. Jennifer L Clark, RN-BC?

Prof. Jennifer L Clark, RN-BC is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN2286841.

Where does Prof. Jennifer L Clark, RN-BC practice?

The practice location is 12 Queen St, Worcester, MA 01610-2411. The office can be reached at 774-312-2423 (phone) or 508-755-6905 (fax).

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 1952927428 directly on the NPPES registry website.

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