MS. JENNIFER ANN CLARK
NPI 1053584292
Audiologist in Lewiston, ID

Active since April 09, 2008
330 WARNER DR, LEWISTON, ID 83501(208) 746-0193(208) 746-7074 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jennifer Ann Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER ANN CLARK (NPI 1053584292) is an individual audiologist in Lewiston, Idaho, licensed in Idaho (AUD-1728) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1053584292
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameMS. JENNIFER ANN CLARK
Location Address330 WARNER DRLewiston, ID 83501-4441
Mailing Address330 Warner DrLewiston, ID 83501-4441 · (208) 746-0193 · Fax (208) 746-7074
Fax(208) 746-7074
Sole ProprietorNo
Enumeration DateApril 9, 2008
Last NPPES UpdateApril 28, 2010
NPI 1053584292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License Licensed in ID · AUD-1728
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
330 WARNER DR, Lewiston, ID 83501

Other Identifiers 6

OtherAU022ID · Blue Cross Of Id
OtherP00678807ID · Railroad Medicare
Other1580017ID · Medicare Id
Medicaid8560278WA
Other000010170154ID · Regence Blueshield Of Id
Medicaid808195700ID

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology (Plastic Surgery within the Head & Neck)
330 WARNER DR
LEWISTON, ID 83501
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
330 WARNER DR
LEWISTON, ID 83501
Audiologist-Hearing Aid Fitter
330 WARNER DR
LEWISTON, ID 83501
Otolaryngology
330 WARNER DR
LEWISTON, ID 83501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1053584292. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Jennifer Clark located?

Jennifer Clark practices at 330 Warner Dr, Lewiston, ID 83501. The listed phone number is (208) 746-0193.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on April 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.