NPI 1073505442

Jessica J Clark, PAC

Practitioner Physician Assistant Geneva, IL

Practice location

Address: 2525 Kaneville Rd Fox Valley Orthopaedic Institute, Geneva, IL 60134-2578
Phone: (630) 584-1400
Fax: (630) 584-1733

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 001580 (IA)

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Registry record

NPI: 1073505442
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2005
Record last updated: 30 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.