Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEANNINE AVIS CLARK, MD
Active Sole ProprietorDR. JEANNINE AVIS CLARK, MD is a Pediatrics healthcare provider located in BOWIE, Maryland. NPI 1457389892 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · BOWIE, MD
Registration Details
- NPI Number
- 1457389892
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2006 (20.138840603722 yrs)
- Last Updated
- Jun 12, 2023
- License
-
D0043862 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6915 LAUREL BOWIE ROADSUITE 301BOWIE, MD, 20715Browse MD providers · Browse ZIP 20715
- Phone
- 3012498838
- Fax
- 3012495334
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in BOWIE, MD
| Name | Credential | NPI |
|---|---|---|
| DR. AMINA T WATSON | M.D. | 1083610760 |
| DR. TONI LYNN THOMPSON-CHITTAMS | D.O | 1144229667 |
| DR. YVONNE MARIE JACKSON | M.D. | 1790786101 |
| DR. CYNTHIA HEATHER CAMPBELL | M.D. | 1740277458 |
| DR. VALORIE ANLAGE | M.D. | 1275513053 |
| DR. BRENDA KAREN PETTUS-BELLAMY | MD | 1285648667 |
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.