Individual provider · Type 1 NPI
Jasmine Clark
Student in an Organized Health Care Education/Training Program · Philadelphia, PA
NPI number
1780437483
Active
Practice location
5800 Ridge Ave
Philadelphia, PA 19128
Mailing address
1 Medical Center Blvd
Upland, PA 19013-3902
Other practice locations
- 1 Medical Center Blvd, Upland, PA 19013-3902 · (610) 447-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1780437483
Jasmine Clark's National Provider Identifier is 1780437483, issued on Apr 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 13, 2026.