Individual provider · Type 1 NPI

Jennifer M. Clark, R.N., FNP, PMHNP

Nurse Practitioner · Santa Rosa, CA

NPI number 1437335551 Active

Practice location

500 Doyle Park Dr Ste G04
Santa Rosa, CA 95405-4559

Call (707) 303-8349 Map

Fax (707) 303-2694

Mailing address

3114 Carvel Dr
Santa Rosa, CA 95405-7062

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X740722 (TX)
Nurse Practitioner Primary 363L00000XNP12069 (CA)

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 1437335551

Jennifer M. Clark, R.N., FNP, PMHNP's National Provider Identifier is 1437335551, issued on Jan 18, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Rosa, CA. The record was last updated on May 8, 2025.