Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jennifer Joann Clark, NP

Family Nurse Practitioner in Anderson, MO · enumerated 2015 · practices at Sgoh Acquisition, Inc..

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

National Provider Identifier

1710355615

Verified

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Registry record

Entity type Individual (Type 1)

Name Jennifer Joann Clark

Credential NP

Sex Female

Practice address 104 E Main St, Anderson, MO, 64831

Phone (417) 845-6984

Fax (417) 845-6976

Enumeration date Sep 9, 2015

Last updated in NPPES Jun 26, 2019

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 2015031288 (MO) Primary

NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

Other identifiers

Identifier	Type	State	Issuer
1710355615	Medicaid	MO	-
201119140A	Medicaid	KS	-
200605370A	Medicaid	OK	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jennifer Clark practice?

The practice location on file with NPPES is in Anderson, MO. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jennifer Clark?

The National Provider Identifier (NPI) for Jennifer Clark is 1710355615, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Jason Bowers Clinical Social Worker · Anderson, MO NPI 1346627940 Sgoh Acquisition, Inc. Rural Health Clinic/Center · Anderson, MO NPI 1063969665 Erin Berry Family Nurse Practitioner · Anderson, MO NPI 1912599960 Gladys Smith Family Nurse Practitioner · Anderson, MO NPI 1154045821

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-26.