Individual provider · Type 1 NPI
Jessica Divonne Clark, LPN
Licensed Practical Nurse · Aurora, CO
Practice location
14300 E Exposition Ave
Aurora, CO 80012-2542
Fax (303) 745-4832
Mailing address
8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN.339619 (CO) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
15 other providers at this address
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About NPI 1023922770
Jessica Divonne Clark, LPN's National Provider Identifier is 1023922770, issued on Sep 30, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Aurora, CO. The record was last updated on Sep 30, 2026.