JESSICA CLARK
NPI 1932909199
Licensed Practical Nurse in Glenolden, PA
- Individual
- Female
- Licensed Practical Nurse
About JESSICA CLARK
This page provides the complete NPI Profile along with additional information for Jessica Clark, a provider established in Glenolden, Pennsylvania with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1932909199 assigned on March 2025. The practitioner's primary taxonomy code is 164W00000X with license number PN307048 (PA). The provider is registered as an individual and her NPI record was last updated one year ago. Jessica Clark operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.
- NPI
- 1932909199 Verify this NPI
- Provider Name
- JESSICA CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 205 S MACDADE BLVD APT J GLENOLDEN, PA 19036
- Location Phone
- (215) 478-3207
- Mailing Address
- 205 S MACDADE BLVD APT J GLENOLDEN, PA 19036
- Mailing Phone
- (215) 478-3207
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-17-2025
- Last Update Date
- 03-17-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- PN307048
- License State
- PA
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932909199, enumerated as an "individual" on March 17, 2025.
The provider is located at 205 S MACDADE BLVD APT J GLENOLDEN, PA 19036 and the phone number is (215) 478-3207.
Licensed Practical Nurse with taxonomy code 164W00000X.
