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

MS. Jennifer Lynn Peacock Clark

Individual provider Registered Nurse · NPI 1962918417

MS. Jennifer Lynn Peacock Clark is a Registered Nurse in Brooklyn, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

173 Meserole Ave Apt 2L
Brooklyn, NY 11222-2424
Phone: (646) 256-2104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 220 E 42nd St, New York, NY 10017-5806 — (646) 256-2104

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 308588 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 561419 (NY)

Record details

NPI number1962918417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2017
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

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