JENNIFER JEAN CLARK, PA

NPI: 1730631490 · Individual · Active

Primary Specialty

Physician Assistant

Practice Location

1055 N 500 W STE 212
PROVO, UT 84604-3305 Map ↗
Phone: 801-812-5033
Fax: 801-812-5034

All Specialties & Licenses

  • Physician Assistant Primary (license: 10132491-1206, UT)

HIE Endpoints

  • DIRECT: JCLARK606592@DIRECT.MED.UTAH.EDU
    via University of Utah

NPI Registration

Enumerated: 2016-10-28

Last CMS Update: 2022-12-03