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

Mr. Jennifer Anne Clark, NP-C

Individual provider Family Nurse Practitioner · NPI 1629203948

Mr. Jennifer Anne Clark, NP-C is a Nurse Practitioner in Vineland, New Jersey. Qualified in 2009, 17 years ago. Practices with Cooper Physician Offices PA, a 330-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
17
Licensed in
NJ
In the registry since
2009
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1505 W Sherman Ave
Vineland, NJ 08360-6912
Phone: (856) 641-8000
Show map & directions

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

Additional practice locations (1)

  • 1120 Delsea Dr N, Glassboro, NJ 08028-1444 — (856) 595-9136

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00198600 (NJ)

Record details

NPI number1629203948
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedMay 17, 2009
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Cooper Physician Offices Pa — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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