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

Jessica Autumn Clark

Individual provider Internal Medicine Physician · NPI 1104560317

Jessica Autumn Clark is an Internal Medicine Physician in Huntsville, Alabama. Works from 3 locations. Licensed in Alabama and Mississippi.

Licensed in
AL, MS
In the registry since
2022
Specialties on file
3

Practice location Address checks out

101 Sivley Rd SW
Huntsville, AL 35801-4470
Phone: (256) 265-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1802 6th Ave S, Birmingham, AL 35233-1932 — (205) 934-2411
  • 860 S Madison St, Tupelo, MS 38801-4905 — (615) 513-4978

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 4187 (AL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4187 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MS)

Record details

NPI number1104560317
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 24, 2022
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

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