Jennijo Clark, LPN - Licensed Practical Nurse in Oshkosh, WI

Jennijo Clark, LPN is a Licensed Practical Nurse based in Oshkosh, Wisconsin. Jennijo Clark is licensed to practice in Wisconsin (license number 313347-31) and her current practice location is 402 W South Park Ave, Oshkosh, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 203-9055.

NPI number for Jennijo Clark is 1265734354 and her current mailing address is 402 W South Park Ave, Oshkosh, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265734354.

Contact Information

Jennijo Clark, LPN
402 W South Park Ave,
Oshkosh, WI 54902-6569
(920) 203-9055
Not Available

Map and Direction




Provider's Profile

Full NameJennijo Clark
GenderFemale
SpecialityLicensed Practical Nurse
Location402 W South Park Ave, Oshkosh, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265734354
  • Provider Enumeration Date: 11/23/2010
  • Last Update Date: 11/23/2010

Medical Identifiers

Medical identifiers for Jennijo Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265734354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 313347-31 (Wisconsin)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. Jennijo 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 AddressPractice Location Address
Jennijo Clark, LPN
402 W South Park Ave,
Oshkosh, WI 54902-6569

Ph: (920) 203-9055
Jennijo Clark, LPN
402 W South Park Ave,
Oshkosh, WI 54902-6569

Ph: (920) 203-9055

Reviews and Comments


Licensed Practical Nurse Nurses in Oshkosh, WI

Brittney Gail Hamilton, LPN
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Mandy M Tague, RN
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Crystal Kaye Alderson, LPN
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Phone: 920-203-0683    
Matthew Brittnacher,
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Practice Location: 1303 Evans St, Oshkosh, WI 54901
Phone: 920-369-6103    
Yer Lor,
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Medicare: Not Enrolled in Medicare
Practice Location: 3815 Harvest Ct, Oshkosh, WI 54901
Phone: 920-573-5014    
Diane Mary Herzig, L.P.N.
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Medicare: Not Enrolled in Medicare
Practice Location: 1842 Delaware St, Oshkosh, WI 54902
Phone: 920-237-0127    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.