JENNIFER M. CLARK

SANTA ROSA, CA
NPI1437335551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP12069)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: TX  740722)
Enumeration Date2008-01-18
Last Update Date2025-05-08
Business Address
JENNIFER M. CLARK R.N., FNP, PMHNP
500 DOYLE PARK DR STE G04
SANTA ROSA, CA 95405-4559
Phone number: 707-303-8349
Mailing Address
JENNIFER M. CLARK R.N., FNP, PMHNP
3114 CARVEL DR
SANTA ROSA, CA 95405-7062
Phone number: 707-757-3117