Individual
DR. JENNIFER JOCELYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 N HIGH ST, #340, DENVER, CO 80205-5503
(303) 832-2344
(303) 832-3721
Mailing address
4900 S MONACO ST, SUITE 210, DENVER, CO 80237-3486
(303) 832-2344
(303) 832-3721
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
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