IndividualActive
Jennifer Clark, FNP-BC
NPI 1013686203 · Family Nurse Practitioner · Troy, IL
Provider details
- NPI number
- 1013686203
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 209023558 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8308 Burlington Dr
Troy, IL 62294-4003
Phone: (618) 410-5317
Approximate (ZIP-level) locationGet directions
Mailing address
8308 Burlington Dr
Troy, IL 62294-4003
Registry dates
- Enumerated
- 2021-09-10
- Last updated
- 2021-09-10
- Certified
- 2021-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.