Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jennifer M. Clark, R.N., FNP, PMHNP

Nurse Practitioner in Santa Rosa, CA · enumerated 2008 · practices at Santa Rosa Ob-Gyn Medical Associates Group.

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

National Provider Identifier

1437335551

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Registry record

Entity type Individual (Type 1)

Name Jennifer M. Clark

Credential R.N., FNP, PMHNP

Sex Female

Practice address Santa Rosa, CA, 95405

Phone (707) 303-8349

Fax (707) 303-2694

Enumeration date Jan 18, 2008

Last updated in NPPES May 8, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 740722 (TX) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License NP12069 (CA) Primary

RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

Other identifiers

Identifier	Type	State	Issuer
193487901	Medicaid	TX	-
8Y5099	Other	TX	BCBS
P00622287	Other	TX	RR MEDICARE

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 this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jennifer Clark?

Jennifer Clark is registered in NPPES with the primary taxonomy of Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Mark Covec Acute Care Nurse Practitioner · Santa Rosa, CA NPI 1316162662 Santa Rosa Ob-Gyn Medical Associates Group Obstetrics & Gynecology Physician · Santa Rosa, CA NPI 1639382070 Pamela Maur Cardiovascular Disease Physician · Santa Rosa, CA NPI 1427343532 Austin Sue Hospice and Palliative Medicine (Family Medicine) Physician · Santa Rosa, CA NPI 1487916045 Rajveer Sangera Interventional Cardiology Physician · Santa Rosa, CA NPI 1003256546 Jeannie Zanetti Nurse Practitioner · Santa Rosa, CA NPI 1942692025 Thong Nguyen Cardiovascular Disease Physician · Santa Rosa, CA NPI 1063866572

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-08.