Individual
DR. JENNIFER JOCELYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
157630
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
45919
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025570100
—
NE
05
—
125003100
—
WY
05
—
1336106053
—
SD
05
—
1336106053
—
WY
05
—
5326087
—
NM
05
—
657254089
—
NM
05
—
75034531
—
CO
Enumeration date
04/27/2006
Last updated
02/04/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up