Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Diane Clark, MD

Individual provider Pediatrics Physician · NPI 1871556878

Jennifer Diane Clark, MD is a Pediatrics Physician in Midlothian, Virginia. Licensed in Maine and Virginia. Registered with an NPI since 2006.

Licensed in
ME, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14732 Village Square Pl
Midlothian, VA 23112-2253
Phone: (804) 639-0717
Fax: (804) 639-0767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD23961 (ME)
Pediatrics Physician Taxonomy 208000000X · Licence 0101 056329 (VA)

Record details

NPI number1871556878
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

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