Individual provider · Type 1 NPI
Jeannie Elizabeth Clark, CNP
Nurse Practitioner · Rochester, MN
Practice location
200 First Street SW
Rochester, MN 55905-0001
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 12148 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1013724103
Jeannie Elizabeth Clark, CNP's National Provider Identifier is 1013724103, issued on Dec 12, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rochester, MN. The record was last updated on Feb 13, 2025.