Individual
JENNIFER ROSE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 43214-3937
(614) 255-6900
(614) 255-6901
Mailing address
3525 OLENTANGY RIVER RD STE 4330, COLUMBUS, OH 43214-3937
(614) 255-6900
(614) 255-6901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11018950A
IN
207R00000X
Internal Medicine Physician
Primary
35.145559
OH
207R00000X
Internal Medicine Physician
MD474160
PA
Other
Enumeration date
07/14/2016
Last updated
01/23/2024
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