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Jennie S Clark, PA C

Surgical Physician Assistant in Knoxville, TN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114910247

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Registry record

Entity type Individual (Type 1)
Name Jennie S Clark
Credential PA C
Sex Female
Practice address 1940 Alcoa Hwy Ste E260, Knoxville, TN, 37920
Phone (865) 305-6955
Fax (865) 305-8238
Enumeration date Aug 24, 2005
Last updated in NPPES Nov 20, 2023

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1120 (TN) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1120 (TN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1114910247 active?
Yes, as of the latest NPPES snapshot, NPI 1114910247 is active (record last updated 2023-11-20).
How do I verify Jennie Clark's NPI record?
Cross-check NPI 1114910247 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-20.