Clark, Jessica Lynn

Clark, Jessica Lynn is an individual health care provider with primary practice located at 274 Madison Ave Rm 1501 , New York NY 10016-0701. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, 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 Lynn can be contacted via phone (212) 203-1773.

Contact Information

Primary practice address
274 Madison Ave Rm 1501 New York NY 10016-0701
Phone: (212) 203-1773
Fax: (646) 665-4427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 402755 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 402755 New York

Profile Details

NPI number 1962054387
LBN Legal business name Clark, Jessica Lynn
Credentials DNP, PMH-NP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Mar 10th, 2023 - about 2 years ago

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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