Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
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
See something wrong? Report a correction
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
Phone (801) 812-5033
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.
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).
Other providers at this practice address
Browse all → Clarene Hansen Nurse Practitioner · Provo, UT NPI 1114985553 Jeffrey Johnson Internal Medicine Physician · Provo, UT NPI 1285692400 Katie Beesley Family Nurse Practitioner · Provo, UT NPI 1629468475 Valynn Haslam Family Nurse Practitioner · Provo, UT NPI 1093220386 Robert Hamilton Family Nurse Practitioner · Provo, UT NPI 1619526621 Kindra Hunt Family Nurse Practitioner · Provo, UT NPI 1902436611 Vendla Hatt Family Nurse Practitioner · Provo, UT NPI 1861143711 Merilee Jacobson Family Nurse Practitioner · Provo, UT NPI 1003656018
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-03.