Clark, Jessica

Clark, Jessica is an individual health care provider with primary practice located at 1000 Atcheson St , Columbus OH 43203-1353. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clark, Jessica can be contacted via phone (614) 252-4941.

Contact Information

Primary practice address
1000 Atcheson St Columbus OH 43203-1353
Phone: (614) 252-4941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN.438874 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0027330 Ohio

Profile Details

NPI number 1982198610
LBN Legal business name Clark, Jessica
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2018
Last updated Jan 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982198610 NPPES
Ohio MEDICAID 1962855452

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