Individual provider · Type 1 NPI
Jennifer P. Clark, PA-C
Medical Physician Assistant · Breckenridge, CO
NPI number
1588092167
Active
Practice location
429 N Park Ave
Breckenridge, CO 80424
Fax (970) 262-2196
Mailing address
PO Box 800022
Kansas City, MO 64170-0022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA.0003835 (CO) |
| Surgical Physician Assistant | 363AS0400X | PA.0003835 (CO) |
| Physician Assistant | 363A00000X | PA.0003835 (CO) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1588092167
Jennifer P. Clark, PA-C's National Provider Identifier is 1588092167, issued on Oct 17, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Breckenridge, CO. The record was last updated on Mar 6, 2026.