National Provider Identifier
Jadira Jannisse Clark
Jadira Jannisse Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 309-6803.
Profile Overview
- NPI
- 1326913070
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 10, 2025
- Last Updated
- October 10, 2025
Practice Location
- 43 Murray St
- Rochester, NY 14606-1119
Phone: (585) 309-6803
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1326913070
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Jadira
- Middle Name
- Jannisse
- Mailing Street Address
- 43 Murray St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-1119
- Mailing Country
- US
- Mailing Phone
- (585) 309-6803
- Practice Street Address
- 43 Murray St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-1119
- Practice Country
- US
- Practice Phone
- (585) 309-6803
- Enumeration Date
- October 10, 2025
- Last Updated
- October 10, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- October 10, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)