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

Jessica Clark

Individual provider Licensed Practical Nurse · NPI 1932909199

Jessica Clark is a Licensed Practical Nurse in Glenolden, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

205 S Macdade Blvd Apt J
Glenolden, PA 19036-2019
Phone: (215) 478-3207
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN307048 (PA)

Record details

NPI number1932909199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address205 S Macdade Blvd Apt J, Glenolden, PA 19036-2019

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