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Individual

JENNIFER S. CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4000 N BRENDAN LN, SIOUX FALLS, SD 57107-1286
(605) 332-2883
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1582
SD
363A00000X
Physician Assistant
1648
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1648-023
WI STATE LICENSE
WI
Enumeration date
06/23/2006
Last updated
04/16/2025
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