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JENNIFER FORD CLARK FNP
NPI 1124836556
Nurse Practitioner - Family in Navarre, FL

Active since December 18, 2024
1410 NAUTILUS DR, NAVARRE, FL 32566(571) 512-2063 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Ford Clark Fnp NPPES

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

JENNIFER FORD CLARK FNP (NPI 1124836556) is an individual family provider in Navarre, Florida, licensed in Florida (11034207) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1124836556
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER FORD CLARKCredential: FNP
Location Address1410 NAUTILUS DRNavarre, FL 32566-7441
Mailing Address1410 Nautilus DrNavarre, FL 32566-7441 · (571) 512-2063
Phone(571) 512-2063
Sole ProprietorYes
Enumeration DateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1124836556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11034207
1410 NAUTILUS DR, Navarre, FL 32566
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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 1124836556. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Jennifer Clark located?

Jennifer Clark practices at 1410 Nautilus Dr, Navarre, FL 32566. The listed phone number is (571) 512-2063.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.