Individual
JENIFER LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2200 E WILLIAMS FIELD RD STE 200, GILBERT, AZ 85295-0764
(480) 842-5133
Mailing address
41125 N OLIVE ST, SAN TAN VALLEY, AZ 85140-7775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10668
AZ
Other
Enumeration date
11/07/2017
Last updated
10/14/2025
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