Individual provider · Type 1 NPI

Jenna Elizabeth Clark, NP

Family Nurse Practitioner · Jackson, MS

NPI number 1104201649 Active

Practice location

971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Other practice locations

  • 969 Lakeland Dr, Jackson, MS 39216-4606 · (601) 200-4644
  • 971 Lakeland Dr Ste 356, Jackson, MS 39216-4607 · (601) 200-4644

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR890237 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1104201649

Jenna Elizabeth Clark, NP's National Provider Identifier is 1104201649, issued on Jul 27, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on May 14, 2025.