Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA J CLARK, PA C
ActiveJESSICA J CLARK, PA C is a Physician Assistant healthcare provider located in GENEVA, Illinois. NPI 1073505442 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GENEVA, IL
Registration Details
- NPI Number
- 1073505442
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2005 (20.941586334126 yrs)
- Last Updated
- Dec 30, 2021
- License
-
001580 (IA)
Practice Information
- Address
-
2525 KANEVILLE RDFOX VALLEY ORTHOPAEDIC INSTITUTEGENEVA, IL, 601342578Browse IL providers · Browse ZIP 60134
- Phone
- 6305841400
- Fax
- 6305841733
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GENEVA, IL
| Name | Credential | NPI |
|---|---|---|
| JENNIFER BOLANDER | — | 1942271655 |
| SCOTT CT MCKAY | P.A. | 1417928110 |
| COLLEEN BIRD | PA | 1356367601 |
| JAMES SCHILTZ | MD | 1265442370 |
| DEAN PAUL BIENIAK | PA-C | 1386724581 |
| NEDRA REEVES | CNM | 1588746630 |
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.