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Jennifer Diane Clark, MD

NPI 1871556878ActiveIndividual· Pediatrics· Midlothian, VA

Pediatrics (MD) in Midlothian, Virginia, licensed in ME and VA, with an NPI issued in April 2006. Enrolled in Medicare as practitioner - pediatric medicine.

Overview

NPI1871556878
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedApr 10, 2006
Last updated in NPPESJan 28, 2021
Certified by providerJan 28, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000XMD23961ME
Pediatrics208000000X0101 056329VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (ME)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in Midlothian

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