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

Jessica Clark, CNP

Individual provider Nurse Practitioner · NPI 1033981774

Jessica Clark, CNP is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2023, 3 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
3
Licensed in
SD
In the registry since
2023
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

911 E 20th St Ste 300
Sioux Falls, SD 57105-1045
Phone: (605) 504-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CP003004 (SD)

Record details

NPI number1033981774
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 26, 2023
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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