Clark, Jennifer P

Clark, Jennifer P is an individual health care provider with primary practice located at 360 Peak One Dr Ste 260, Frisco CO 80443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Jennifer P can be contacted via phone (970) 668-5584.

Contact Information

Primary practice address
360 Peak One Dr Ste 260 Frisco CO 80443
Phone: (970) 668-5584
Fax: (970) 262-2196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0003835 Colorado

Profile Details

NPI number 1588092167
LBN Legal business name Clark, Jennifer P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2013
Last updated Nov 6th, 2019 - about 7 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 1588092167 NPPES
Colorado MEDICAID 3583007

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