Individual provider · Type 1 NPI

Jennifer Leigh Clark, AGNP

Nurse Practitioner · Sisseton, SD

NPI number 1679001192 Active

Practice location

100 Lake Traverse Dr
Sisseton, SD 57262-7046

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704290820 (MI)
Nurse Practitioner Primary 363L00000X4704290820 (MI)

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 1679001192

Jennifer Leigh Clark, AGNP's National Provider Identifier is 1679001192, issued on May 28, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sisseton, SD. The record was last updated on Feb 22, 2024.