Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA ANN CLARK, AU.D.
ActiveAudiologist · EAGLE, ID
Registration Details
- NPI Number
- 1457606832
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2012 (13.756238684655 yrs)
- Last Updated
- Feb 27, 2018
- License
-
AUD-2269 (ID)
Practice Information
- Address
-
3101 E STATE STSUITE 2108EAGLE, ID, 836166232Browse ID providers · Browse ZIP 83616
- Phone
- 2084894975
- Fax
- 2084894089
- Primary Specialty
-
Audiologist
231H00000X
Other Audiologist Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID ERIC MORLEDGE | PHD | 1316974702 |
| DR. ABRAM PAUL VORE | AUD | 1891095097 |
| DR. RUSSELL CLARK | AUD | 1538692249 |
| MS. CATIE ARDEAN CONRAD | — | 1730648502 |
| STORMY M KLEFFNER | AU.D. | 1013582501 |
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.