MEDICARE: MRS. JENNIFER ROBERSON CLARKE AUD.

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
1	237600000X	Audiologist-Hearing Aid Fitter	DA1666	AZ
2	237600000X	Audiologist-Hearing Aid Fitter	AUD.0000858	CO
3	237700000X	Hearing Instrument Specialist	HAD412	AZ
4	231H00000X	Audiologist		CO

General Provider Information

NPI Number	:	1427000470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER ROBERSON CLARKE AUD.

Provider Business Mailing Address
First Line	:	1975 WEST 120TH AVE, SUITE 100
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234
Country	:	US
Telephone Number	:	303-255-9595
Fax Number	:	303-255-9596

Provider Business Practice Location Address
First Line	:	1975 WEST 120TH AVE, SUITE 100
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234
Country	:	US
Telephone Number	:	303-255-9595
Fax Number	:	303-255-9596

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	04/25/2025

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