Individual provider · Type 1 NPI

Jessie Leigh Clark, APRNNP, FNPC, FNPBC

Family Nurse Practitioner · Mcminnville, OR

NPI number 1780439703 Active

Practice location

115 NE May Ln
Mcminnville, OR 97128-9272

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201394701RN (OR)
Family Nurse Practitioner Primary 363LF0000X10045453 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1780439703

Jessie Leigh Clark, APRNNP, FNPC, FNPBC's National Provider Identifier is 1780439703, issued on Apr 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mcminnville, OR. The record was last updated on Sep 12, 2026.