Jennifer Anne Clark, MED is a
Day Training, Developmentally Disabled Services based in Whitehouse Station, New Jersey. Jennifer Anne Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
35 Pulaski Rd, Whitehouse Station, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(908) 581-4765.
NPI number for Jennifer Anne Clark is 1265940340 and her current mailing address is 35 Pulaski Rd, Whitehouse Station, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265940340.
Healthcare Provider's Profile
| Full Name | Jennifer Anne Clark |
|---|
| Gender | Female |
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| Speciality | Day Training, Developmentally Disabled Services |
|---|
| Location | 35 Pulaski Rd, Whitehouse Station, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265940340
- Provider Enumeration Date: 01/11/2018
- Last Update Date: 01/11/2018
Medical Identifiers
Medical identifiers for Jennifer Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265940340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Anne Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jennifer Anne Clark, MED
35 Pulaski Rd,
Whitehouse Station, NJ 08889-3516
Ph: (908) 581-4765 | Jennifer Anne Clark, MED
35 Pulaski Rd,
Whitehouse Station, NJ 08889-3516
Ph: (908) 581-4765 |
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