Jessica Clark, DNP, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Columbus, OH. Individual provider (NPI-1).
NPI number1982198610
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1982198610
- Entity type
- Individual (NPI-1)
- Name
- Jessica Clark
- Credential
- DNP, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2018
- Certification date
- Jan 8, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APRN.CNP.0027330 | OH | Yes |
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | RN.438874 | OH |
Practice location
1000 Atcheson StColumbus, OH 43203-1353
Phone 614-252-4941
Mailing address
1000 Atcheson StColumbus, OH 43203-1353
Other practice locations
1791 Alum Creek Dr
Columbus, OH 43207-1757
Columbus, OH 43207-1757
Phone 614-445-8131
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