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JENNIFER CLARK
NPI 1306400460
Registered Nurse - Psychiatric/Mental Health in Iron Mountain, MI

Active since April 24, 2019
325 E H ST, IRON MOUNTAIN, MI 49801(906) 774-3300 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2026, Apr 24, 2019 (2 updates tracked since 2019).

About Jennifer Clark NPPES

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

JENNIFER CLARK (NPI 1306400460) is an individual psychiatric/mental health provider in Iron Mountain, Michigan, licensed in Michigan (4704259615) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1306400460
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameJENNIFER CLARK
Location Address325 E H STIron Mountain, MI 49801-4760
Mailing Address325 E H StIron Mountain, MI 49801-4760 · (906) 774-3300
Phone(906) 774-3300
Sole ProprietorNo
Enumeration DateApril 24, 2019
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1306400460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in MI · 4704259615
325 E H ST, Iron Mountain, MI 49801
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Other Providers at the Same Location NPPES 20

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

JANICE LYNN BOLANDER LMSW
Social Worker (Clinical)
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
SUSAN SCULLON
Registered Nurse (Home Health)
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
DR. ALEXANDRA PERICOLOSI DMD
Dentist
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MRS. KELSEY MELLON
Registered Nurse
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MOLLY STENFORS RN
Registered Nurse
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
DR. KIRK L SUSOTT M.D.
Urology
325 E H ST, OSCAR G. JOHNSON VA MEDICAL CENTER
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MARY-BETH M LIMBACK MD
Surgery
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MR. MICHAEL CRAIG NELSON RPH
Pharmacist
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300

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 1306400460. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Jennifer Clark located?

Jennifer Clark practices at 325 E H St, Iron Mountain, MI 49801. The listed phone number is (906) 774-3300.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.