Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144687492 Individual Practitioner Female Practitioner

Jenna Marie Clark , NNP

Nurse Practitioner - Neonatal • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Jenna Clark, NNP is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Dayton, OH. Practice services are available at 1 CHILDRENS PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Childrens Plz

Dayton, OH 454041815

Telephone 9376415072
Fax 9376416129
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Dayton, OH (281 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-13
Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License OH APRN.CNP.0030509

Definition to come...

Registered Nurse - Lactation Consultant

NUCC Taxonomy Code: 163WL0100X

State License OH RN 343251 L-88563

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0015277 (OH)

Secondary Practice Locations

7611 Peterson Rd

Conover, OH 453179721

Phone: 9378755283

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Kara Mccarty , FNP

Nurse Practitioner - Family

NPI 1023825189

Family Nurse Practitioner

Dr. Carla Bridges , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1134506827

Doctor of Medicine (M.D.)

Jasmine Tolbert

Social Worker

NPI 1194691410
Dr. Khalid Safi , MD

Pediatrics - Pediatric Pulmonology

NPI 1336371442

Doctor of Medicine (M.D.)

Dr. David Roer , MD

Pediatrics - Adolescent Medicine

NPI 1396821518

Doctor of Medicine (M.D.)

Feven Ogbaselase-Beck

Clinical Neuropsychologist

NPI 1528600996

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 13, 2024

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376415072)

📍
Updated Business Mailing Address May 13, 2024

Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376415072)

👤
Provider Name / Credentials Updated May 13, 2024

Recorded as JENNA CLARK, NNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2024

Registered Nurse (License #RN 343251 L-88563 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2022

Nurse Practitioner (License #APRN.CNP.0030509 in OH)

NPI Profile Active January 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2016

Registered at 7611 PETERSON RD, CONOVER, OH 453179721 (Tel: 9378755283)

📍
Updated Business Mailing Address January 18, 2016

Registered at 7611 PETERSON RD, CONOVER, OH 453179721 (Tel: 9378755283)

👤
Provider Name / Credentials Updated January 18, 2016

Recorded as JENNA CLARK, RN, BSN, IBCLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2016

Registered Nurse (License #RN 343251 L-88563 in OH)

🟢
Initial NPI Registration & Enumeration January 18, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144687492
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2016
Last Update: May 13, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 933432

Cleveland, OH 441930039

Phone: 9376415072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.