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NPI Code Detail

MEDICARE: JENNIFER RACHAEL HOWELL-CLARK MD

MEDICARE: JENNIFER RACHAEL HOWELL-CLARK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1146L00000XParamedic467286NY
2390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1215875661
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER RACHAEL HOWELL-CLARK MD
Provider Business Mailing Address
First Line : 2431 21ST ST APT 11
Second Line :
City : TROY
State : NY
Zip : 12180-1836
Country : US
Telephone Number : 206-380-8672
Fax Number :
Provider Business Practice Location Address
First Line : 513 PARNASSUS AVE # 321
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94143-2205
Country : US
Telephone Number : 415-476-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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