MRS. JESSICA MARIE CLARK APRN
NPI 1457007593
Family Medicine in Ponte Vedra Beach, FL

Q: What is Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1457007593. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Q: What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 28, 2022

41 WILLOW FALLS TRL, PONTE VEDRA BEACH, FL 32081(352) 817-1452 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Jessica Marie Clark Aprn NPPES

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

MRS. JESSICA MARIE CLARK APRN (NPI 1457007593) is an individual family medicine provider in Ponte Vedra Beach, Florida, licensed in Florida (APRN11018319) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1457007593

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMRS. JESSICA MARIE CLARKCredential: APRN

Location Address41 WILLOW FALLS TRLPonte Vedra Beach, FL 32081-4401

Mailing Address41 Willow Falls TrlPonte Vedra Beach, FL 32081-4401 · (352) 817-1452

Phone(352) 817-1452

Sole ProprietorYes

Enumeration DateFebruary 28, 2022

NPPES CertifiedFebruary 28, 2022

✔ NPI 1457007593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · APRN11018319

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

41 WILLOW FALLS TRL, Ponte Vedra Beach, FL 32081

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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's NPI number?

The NPI number for Jessica Clark is 1457007593. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Jessica Clark located?

Jessica Clark practices at 41 Willow Falls Trl, Ponte Vedra Beach, FL 32081. The listed phone number is (352) 817-1452.

What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.