National Provider Identifier
Jessica Lynn Clark, DNP, PMHNP-BC
Jessica Lynn Clark, DNP, PMHNP-BC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 210-6230.
Profile Overview
- NPI
- 1962054387
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- July 16, 2019
- Last Updated
- September 13, 2025
Practice Location
- 3780 N Buffalo St Ste 8
- Orchard Park, NY 14127-1855
Phone: (716) 210-6230
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Military Health Care Provider (171000000X)
Full Record
- NPI
- 1962054387
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Jessica
- Middle Name
- Lynn
- Name Prefix
- Dr.
- Credential
- DNP, PMHNP-BC
- Mailing Street Address
- 3780 N Buffalo St Ste 8
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1855
- Mailing Country
- US
- Practice Street Address
- 3780 N Buffalo St Ste 8
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1855
- Practice Country
- US
- Practice Phone
- (716) 210-6230
- Practice Fax
- (716) 272-9263
- Enumeration Date
- July 16, 2019
- Last Updated
- September 13, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 13, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Military Health Care Provider (171000000X)