Jettanna Burruss- Clark
NPI 1902590227 · Case Manager/Care Coordinator · Waldorf, MD
Jettanna Burruss- Clark is a Case Manager/Care Coordinator provider in Waldorf, MD (NPI 1902590227).
Provider details
- NPI number
- 1902590227
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Community Health Worker172V00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2023-06-08
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Frequently asked questions
- What is Jettanna Burruss- Clark's NPI number?
- Jettanna Burruss- Clark's National Provider Identifier (NPI) is 1902590227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jettanna Burruss- Clark's specialty?
- Jettanna Burruss- Clark is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Jettanna Burruss- Clark located?
- Jettanna Burruss- Clark's practice location on file with NPPES is 22 Meadow Pl, Waldorf, MD 20601-2924.
- What is Jettanna Burruss- Clark's phone number?
- The practice phone number listed in the NPPES registry for Jettanna Burruss- Clark is (240) 810-3952.
- Is Jettanna Burruss- Clark's NPI active?
- Yes — Jettanna Burruss- Clark's NPI (1902590227) is active in the NPPES registry as of the last update on 2026-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.