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

Jessica Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659966729

Jessica Clark is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (800) 836-7536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 Walnut St, Philadelphia, PA 19107-5001 — (215) 955-6983

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MT222427 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659966729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2021
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

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