Clark, Jennifer M

Clark, Jennifer M is an individual health care provider with primary practice located at 300 W King St Suite C, Littlestown PA 17340-1446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Jennifer M can be contacted via phone (717) 339-2390.

Contact Information

Primary practice address
300 W King St Suite C Littlestown PA 17340-1446
Phone: (717) 339-2390
Fax: (717) 359-4178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP010597 Pennsylvania

Profile Details

NPI number 1407186554
LBN Legal business name Clark, Jennifer M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2010
Last updated Jun 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407186554 NPPES
Maryland Other 960064 CAREFIRST MD BCBS
Maryland Other 1587216 CAREFIRST MD BCBS
Maryland Other 2499067 CAREFIRST MD BCBS

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