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Search › Ohio › 363LN0000X

Jenna Clark, NNP

NPI 1144687492 · on the registry since 2016 · sole proprietor

Practice

Address
1 Childrens Plz
Dayton, OH 45404
Phone
(937) 641-5072
Fax
(937) 641-6129
Organisation at this address
Robert Bloom Optical
Dayton Children'S Hospital
Dayton Children'S Hospital
Dayton Children'S Hospital
Dayton Children'S Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
621

Additional practice sites

  • 7611 Peterson Rd, Conover, OH

Registry record

Primary taxonomy
363LN0000X
363LN0000X
Also registered as
163WL0100X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio