IndividualActive
Jennijo Clark, LPN
NPI 1265734354 · Licensed Practical Nurse · Oshkosh, WI
Jennijo Clark, LPN is a Licensed Practical Nurse provider in Oshkosh, WI (NPI 1265734354).
Provider details
- NPI number
- 1265734354
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 313347-31 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
402 W South Park Ave
Oshkosh, WI 54902-6569
Phone: (920) 203-9055
Street-level locationGet directions
Mailing address
402 W South Park Ave
Oshkosh, WI 54902-6569
Registry dates
- Enumerated
- 2010-11-23
- Last updated
- 2010-11-23
Frequently asked questions
- What is Jennijo Clark's NPI number?
- Jennijo Clark's National Provider Identifier (NPI) is 1265734354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennijo Clark's specialty?
- Jennijo Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Jennijo Clark located?
- Jennijo Clark's practice location on file with NPPES is 402 W South Park Ave, Oshkosh, WI 54902-6569.
- What is Jennijo Clark's phone number?
- The practice phone number listed in the NPPES registry for Jennijo Clark is (920) 203-9055.
- Is Jennijo Clark's NPI active?
- Yes — Jennijo Clark's NPI (1265734354) is active in the NPPES registry as of the last update on 2010-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.