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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER JUSTINA CLARK, FNP-BC

Active

JENNIFER JUSTINA CLARK, FNP-BC is a Family Nurse Practitioner healthcare provider located in PORTLAND, Oregon. NPI 1417596016 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PORTLAND, OR

Registration Details

NPI Number
1417596016
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2019 (6.5795461135257 yrs)
Last Updated
Dec 30, 2019
Licenses
AP61006464 (WA)
201908784NP-PP (OR)

Practice Information

Address
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR, 972392964
Browse OR providers · Browse ZIP 97239
Phone
5032208262
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in PORTLAND, OR

Name Credential NPI
MS. NANCY LYNN SPENCER MSN FNP 1487657052
DR. LUIS FERNANDO CARRILLO FNP 1083617658
JOANNE T EDDINGTON FNP 1417950015
SUZANNE LORRAINE AUGUST N.P. 1275535221
MARY ANN BROWNING FNP 1770587222
VALERIE LYNN CECIL FNP 1942205547
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.