Individual provider · Type 1 NPI

Jeanette Marie Clark, APRN

Adult Health Nurse Practitioner · Phoenix, AZ

NPI number 1265315154 Active

Practice location

3811 E Bell Rd Ste 111
Phoenix, AZ 85032-2158

Mailing address

24611 N 144th Ave
Surprise, AZ 85387-7033

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X334234 (AZ)

Adult Health Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1265315154

Jeanette Marie Clark, APRN's National Provider Identifier is 1265315154, issued on Jul 28, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 2, 2026.