Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER ANN CLARK
ActiveAudiologist · LEWISTON, ID
Registration Details
- NPI Number
- 1053584292
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2008 (18.035684709992 yrs)
- Last Updated
- Apr 28, 2010
- License
-
AUD-1728 (ID)
Practice Information
- Address
-
330 WARNER DRLEWISTON, ID, 835014441Browse ID providers · Browse ZIP 83501
- Phone
- 2087460193
- Fax
- 2087467074
- Primary Specialty
-
Audiologist
231H00000X
Other Audiologist Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. ANNE KRISTIN SIMON | M.S. | 1548396690 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.