| Jennifer Jean Clark, PA | |
|
1055 N 500 W Ste 212, Provo, UT 84604-3305 | |
| (801) 812-5033 | |
| (801) 812-5034 |
| Full Name | Jennifer Jean Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1055 N 500 W Ste 212, Provo, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730631490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10132491-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Adult Services | 0941525273 | 1435 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Jean Clark, PA 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Jennifer Jean Clark, PA 1055 N 500 W Ste 212, Provo, UT 84604-3305 Ph: (801) 812-5033 |
Kelly Marie Daly-wolfe, PA-C, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Provo, UT 84601 Phone: 801-429-2000 | |
John Harold Ball, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 Fax: 801-357-8840 | |
Devin W Christensen, PA-S2 Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1360 S 760 W, Provo, UT 84601 Phone: 801-471-7998 | |
Joan Margaret Butler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Robert Rowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 S State St, Provo, UT 84606 Phone: 801-429-2000 | |
Michael Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-418-0941 | |
Stacie Glass, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604 Phone: 801-357-0570 |