Individual provider · Type 1 NPI
Jessica Lynn Clark, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Orchard Park, NY
NPI number
1962054387
Active
Practice location
3780 N Buffalo St Ste 8
Orchard Park, NY 14127-1855
Fax (716) 272-9263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | 402755 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402755 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1962054387
Jessica Lynn Clark, DNP, PMHNP-BC's National Provider Identifier is 1962054387, issued on Jul 16, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Orchard Park, NY. The record was last updated on Sep 13, 2025.