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Jennifer Jean Clark, PA

Physician Assistant in Provo, UT · enumerated 2016.

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

National Provider Identifier

1730631490

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Registry record

Entity type Individual (Type 1)
Name Jennifer Jean Clark
Credential PA
Sex Female
Practice address 1055 N 500 W Ste 212, Provo, UT, 84604
Fax (801) 812-5034
Enumeration date Oct 28, 2016
Last updated in NPPES Dec 3, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10132491-1206 (UT) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

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

How do I verify Jennifer Clark's NPI record?
Cross-check NPI 1730631490 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1730631490 active?
Yes, as of the latest NPPES snapshot, NPI 1730631490 is active (record last updated 2022-12-03).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-03.