HomeNPI Verification

NPI Verification

National Provider Identifier: 1659966729

Jessica Clark

Individual Provider

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Primary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Practice Address

3401 N BROAD ST

PHILADELPHIA, PA 191405103

Phone: 800-836-7536

NPI Enumeration Date

March 1, 2021

NPI Number

1659966729

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry