IndividualActive
Jennifer Clark, MS, RDN, CSOWM
NPI 1912614140 · Obesity and Weight Management Nutrition Registered Dietitian · Ann Arbor, MI
Provider details
- NPI number
- 1912614140
- Entity type
- Individual
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, CSOWM
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(62/100 index)
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
3 documented practice locations
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
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone: (517) 764-3609
Street-level locationGet directions
Mailing address
3091 Crabtree Dr
Tecumseh, MI 49286-7764
Additional practice locations (2)
- 1040 S Winter St Ste 2023Adrian, MI 49221-3876Phone: (517) 764-3609
- 4328 Page AveMichigan Center, MI 49254-1077Phone: (517) 764-3609
Registry dates
- Enumerated
- 2022-10-27
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.