JESSICA CLARK
Student in an Organized Health Care Education/Training Program

Address: 1025 Walnut St, Philadelphia, PA 19107-5001

JESSICA CLARK (NPI# 1659966729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659966729
Entity Type Individual
Full Name JESSICA CLARK
Gender Female
Practice Address 1025 Walnut St
Philadelphia
PA 19107-5001
Practice Telephone 2159556983
Mailing Address 4 Clearbrook Ln
Sewell
NJ 08080-3320
Certification Date 2021-03-01
Enumeration Date 2021-03-01
Last Update Date 2021-03-01
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1316542152 Jessica Clark 3710 Richmond Ave, Staten Island, NY 10312-3848 2020-12-01
1699301879 Jessica Clark 311 S L St, Tacoma, WA 98405-4289 2020-03-19
1528690906 Jessica Clark 343 N Main Ave, Gresham, OR 97030-7246 2020-02-04
1265078265 Jessica Clark 12729 Northup Way Ste 23, Bellevue, WA 98005-1935 2019-11-25
1194376020 Jessica Clark 103 Valley Center Dr, Staunton, VA 24401-5080 2019-09-23
1952869141 Jessica Clark 799 Northern Blvd, South Abington Township, PA 18411-9087 2019-03-06
1114407939 Jessica Clark 119 Holly St, Holly Ridge, NC 28445-7898 2018-08-21
1982198610 Jessica Clark 1791 Alum Creek Dr, Columbus, OH 43207-1757 2018-06-16
1700392412 Jessica Clark 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 2017-12-18
1811416076 Jessica Clark 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 2017-09-19
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Office Location

Street Address 1025 WALNUT ST
City PHILADELPHIA
State PA
Zip Code 19107-5001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104451178 Dylan Horan Student in an Organized Health Care Education/Training Program 1025 Walnut St, Philadelphia, PA 19107-5001 2020-03-10
1912532045 Alec Reid Furstenberg Student in an Organized Health Care Education/Training Program 1025 Walnut St, Philadelphia, PA 19107-5001 2020-03-09
1215461363 Vikas Sunder Student in an Organized Health Care Education/Training Program 1025 Walnut St, Room 805, Philadelphia, PA 19107-5001 2017-04-16
1861854747 Justin Stull Student in an Organized Health Care Education/Training Program 1025 Walnut St, Dept of Orthopaedic Surgery, Room 516 College, Philadelphia, PA 19107-5001 2016-03-22
1578930962 Shogo Shimada Thoracic Surgery (Cardiothoracic Vascular Surgery) 1025 Walnut St, Philadelphia, PA 19107-5001 2015-09-01
1063807196 James Mckenzie Student in an Organized Health Care Education/Training Program 1025 Walnut St, Philadelphia, PA 19107-5001 2015-04-06
1154763332 Ryuta Tanimoto Urology 1025 Walnut St, Suite 1112, Philadelphia, PA 19107-5001 2013-07-29
1053750034 Sung Whang Nurse Practitioner · Family 1025 Walnut St, Suite 607, Philadelphia, PA 19107-5001 2013-06-22
1225475734 Neda Nikbakht Dermatology 1025 Walnut St, Suite 701, Philadelphia, PA 19107-5001 2013-05-24
1205272804 Jefferson University Hospital General Acute Care Hospital 1025 Walnut St, Suite 801, Philadelphia, PA 19107-5001 2013-05-22
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1487241881 Madeline Aghazarian Registered Nurse 901 Walnut Street, Health Professions Academic Building, 8th Floor, Philadelphia, PA 19107 2020-12-31
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1568088649 Malika Gill Student in an Organized Health Care Education/Training Program 800 Spruce Street, Philadelphia, PA 19107 2020-06-24
1386265635 Karla Maria Asturias Gonzalez Student in an Organized Health Care Education/Training Program 800 Spruce Street, Philadelphia, PA 19107 2020-04-28
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1255969697 Sukhdeep Rathore Nurse Anesthetist, Certified Registered 800 Spruce Street, Pennsylvania Hospital, Philadelphia, PA 19107 2020-03-31
1942835251 Mental Health Partnerships Community/Behavioral Health 1211 Chestnut St, 11th Floor, Philadelphia, PA 19107 2020-03-06
1295384808 Methodist Associates In Healthcare, Inc. Internal Medicine · Nephrology 211 S 9th St Ste 600, Philadelphia, PA 19107 2019-09-06
1023664067 Catharine Maria Farnan Nurse Practitioner · Gerontology Thomas Jefferson University Hospital, 11th and Walnuts Streets, Philadelphia, PA 19107 2019-08-15
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780279158 Cally Richardson 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-07
1730774365 Veronica Kim-Quy Pham 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-05
1851986996 Amanda Marie Fellin 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-01
1881289965 Bruna Kiane Ruthner 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-01
1306430079 Nicholas Decarlo 4190 City Ave Ste 207, Philadelphia, PA 19131-1627 2021-02-23
1336733070 Ruth Michelle Joanis 4190 City Ave, Philadelphia, PA 19131-1626 2021-02-23
1427642263 Tia Rose Wisdo 4170 City Ave, Philadelphia, PA 19131 2021-02-23
1215521299 Jessica Huston 4170 City Ave, Philadelphia, PA 19131-1610 2021-02-22
1285228197 George Boukas 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-22
1881288868 Hannah M Eichen 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-21
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Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19107

Similar providers

NPI Name Taxonomy Address Enumeration
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.