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Individual

DR. JESSICA LYNN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC

Contact information

Practice address
3780 N BUFFALO ST STE 8, ORCHARD PARK, NY 14127-1855
(716) 210-6230
(716) 272-9263
Mailing address
3780 N BUFFALO ST STE 8, ORCHARD PARK, NY 14127-1855

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
402755
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402755
NY

Other

Enumeration date
07/16/2019
Last updated
09/13/2025
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