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Dr. Jessica Lynn Clark, DNP,PMH-NP-BC
Psychiatric/Mental Health Nurse Practitioner in New York, New York
NPI 1962054387

Jessica Lynn Clark is a Psychiatric/Mental Health Nurse Practitioner based in Angola, NY and is specialized in Psychiatric/Mental Health. Jessica Lynn Clark practices in New York, NY and has the professional credentials of DNP,PMH-NP-BC. The NPI Number for Jessica Lynn Clark is 1962054387 and holds a License No. 402755 (New York).

The current practice location address for Jessica Lynn Clark is 274 Madison Ave Rm 1501, New York, NY and can be reached out via phone at 212-203-1773 and via fax at 646-665-4427.

Location: 274 Madison Ave Rm 1501, New York, NY, 14006-9077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962054387
Provider Name
Jessica Lynn Clark
Credential
DNP,PMH-NP-BC
Provider Entity Type
Individual
Gender
Female
Address
274 Madison Ave Rm 1501, New York, NY, 14006-9077
Phone Number
212-203-1773
Fax Number
646-665-4427
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
274 Madison Ave Rm 1501
City
New York
State
New York
Zip
10016-0701
Phone Number
212-203-1773
Fax Number
646-665-4427
person
Provider Business Mailing Address Details
Address
274 Madison Ave Rm 1501
City
New York
State
New York
Zip
10016-0701
Phone Number
212-203-1773
Fax Number
646-665-4427
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
402755 (New York)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
402755 (New York)
Definition
Definition to come...
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