Individual
JESSICA LEE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
164 GREENVIEW DR STE 385, STATE COLLEGE, PA 16803-2106
(814) 466-6396
(814) 466-6056
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7000
(814) 231-7098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056201
PA
363A00000X
Physician Assistant
OA003073
PA
Other
Enumeration date
07/25/2013
Last updated
10/10/2025
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