NPI
Jennifer Nikkole Clark
NPI 1649506221
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MPT
- Type
- Individual
- Enumeration date
- 2009-11-02
- Last updated
- 2009-11-02
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Specialties
Licenses
- License PA
- PT009666L
Location
- Practice location
- 223 Pittsburgh St
- City
- Saxonburg PA
- Postal code
- 16056-2217
- Phone
- (724) 352-9445
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Saxonburg, PA. 60 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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