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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.