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JESSICA CLARK-GOMEZ
NPI 1275727141
Licensed Practical Nurse in Richland Center, WI

Active since September 04, 2007
342 E UNION ST, RICHLAND CENTER, WI 53581(608) 647-6415 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Clark-gomez NPPES

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

JESSICA CLARK-GOMEZ (NPI 1275727141) is an individual licensed practical nurse in Richland Center, Wisconsin and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1275727141
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA CLARK-GOMEZ
Location Address342 E UNION STRichland Center, WI 53581-2217
Mailing Address342 E Union StRichland Center, WI 53581-2217 · (608) 647-6415
Phone(608) 647-6415
Sole ProprietorYes
Enumeration DateSeptember 4, 2007
✔ NPI 1275727141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
342 E UNION ST, Richland Center, WI 53581
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Other Identifiers 1

Medicaid35030800WI

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 Jessica Clark-gomez's NPI number?

The NPI number for Jessica Clark-gomez is 1275727141. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Where is Jessica Clark-gomez located?

Jessica Clark-gomez practices at 342 E Union St, Richland Center, WI 53581. The listed phone number is (608) 647-6415.

What is Jessica Clark-gomez's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jessica Clark-gomez was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.