Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Marie Clark, MS, RD, LD

Individual provider Registered Dietitian · NPI 1134834450

Jill Marie Clark, MS, RD, LD is a Registered Dietitian in Hannibal, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone: (573) 406-5952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6000 Hospital Dr, Hannibal, MO 63401-6887 — (573) 248-1300

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2021046266 (MO)

Record details

NPI number1134834450
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LD
Sole proprietorNo
NPI enumeratedJanuary 20, 2023
Last updated in NPPESMarch 27, 2023
Certification dateJanuary 20, 2023

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