Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jennifer Diane Clark, MD

Pediatrics Physician in Midlothian, VA · enumerated 2006 · practices at Woodlake Village Pediatrics LLC.

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

National Provider Identifier

1871556878

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Registry record

Entity type Individual (Type 1)

Name Jennifer Diane Clark

Credential MD

Sex Female

Practice address 14732 Village Square Pl, Midlothian, VA, 23112

Phone (804) 639-0717

Fax (804) 639-0767

Enumeration date Apr 10, 2006

Last updated in NPPES Jan 28, 2021

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 0101 056329 (VA) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD23961 (ME) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
432058755	Other	VA	TRICARE
1382954	Other	VA	FIRST HEALTH NETWORK
010121086	Medicaid	VA	-
10007264	Other	VA	OPTIMA HEALTH
1240927	Other	VA	UNITED HEALTH CARE
171941	Other	VA	ANTHEM BCBS
5056305	Other	VA	FHN PRODUCT, CCN
299592	Other	VA	SOUTHERN HEALTH
5214032	Other	VA	AETNA PPO
432058755	Other	VA	GREAT WEST
3649627	Other	VA	AETNA HMO
4768718	Other	VA	CIGNA
432058755	Other	VA	PHCS

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

What specialty is Jennifer Clark?

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

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.

Other providers at this practice address

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Woodlake Village Pediatrics LLC Specialist · Midlothian, VA NPI 1578681946

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-28.