| Jennifer M Clark, RN, FNP, PMHNP | |
|
500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405-4559 | |
| (707) 303-8349 | |
| (707) 303-2694 |
| Full Name | Jennifer M Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 500 Doyle Park Dr Ste G04, Santa Rosa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437335551 | NPI | - | NPPES |
| 193487901 | Medicaid | TX | |
| 8Y5099 | Other | TX | BCBS |
| P00622287 | Other | TX | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 740722 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | NP12069 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M Clark, RN, FNP, PMHNP 3114 Carvel Dr, Santa Rosa, CA 95405-7062 Ph: (707) 757-3117 | Jennifer M Clark, RN, FNP, PMHNP 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405-4559 Ph: (707) 303-8349 |
Peggy Walsh Goebel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404 Phone: 707-585-7780 Fax: 707-585-7784 | |
Sophia Rose Wuest, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Lombardi Ct, Santa Rosa, CA 95407 Phone: 707-303-3600 | |
Julie Barlow, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207 | |
Suzanne Watts Dedmore, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600 | |
Amada Ligia Gomez, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404 Phone: 786-385-4492 | |
Genesis Callejas-mir, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445 | |
Felipa Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404 Phone: 707-570-1130 Fax: 707-571-2478 |