Individual
JENNIFER ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPNP
Contact information
Practice address
8440 WALNUT HILL LN STE 800, DALLAS, TX 75231-3825
(214) 716-2635
Mailing address
4305 W WHEATLAND RD, DALLAS, TX 75237-3311
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
1085940
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1085940
TX
Other
Enumeration date
09/19/2022
Last updated
11/05/2025
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