Jennifer Selleck Clark, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004547 Issued in NC

Practice address

796 Doctors CT
Roxboro, NC 27573-4571

Phone

(336) 598-0002

Fax

(336) 599-2159

NPI assigned

Nov 11, 2009

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Duke University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Person Urgent Care LLCGroup PAC ID 9032478698, 11 clinicians

Roxboro Internal Medicine and Pediatrics, P.aGroup PAC ID 0446144760, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.clark.2@20247.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DLP Person Urgent Care LLC

  • Urgent Care Clinic/Center
  • Roxboro, NC
  • NPI 1275043481
  Medicare reassignment Care Compare group NPD
• Roxboro Internal Medicine & Pediatrics, P.a.

  dba Roxboro MedPeds

  • Internal Medicine Physician
  • Roxboro, NC
  • NPI 1427016138
  Medicare reassignment Care Compare group NPD
• DLP Person Urgent Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Chapel Hill, NC
  • NPI 1417460940
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Person Memorial Hospital LLC

  dba Person Memorial Hospital

  • General Acute Care Hospital
  • Roxboro, NC
  • NPI 1881977593
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1245567247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 DOCTORS CT",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734571",
            "telephone_number": "336-598-0002",
            "fax_number": "336-599-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 DOCTORS CT",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734571",
            "telephone_number": "336-598-0002",
            "fax_number": "336-599-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JENNIFER",
        "middle_name": "SELLECK",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245567247",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Changing Lives Family Services
• Jingya Jeanne Chen
• Choices I, Inc
• Choices, Inc
• Chrysalis Foundation for Mental Health, Inc
• Karen Michelle Clark, PHARMD
• Amanda Reaves Clayton, RPH
• Bryan Kevin Clayton, CPSS,MH,SA
• Thomas Preston Brinn Clayton, MA, LMFT
• Kimberly Lynn Clicquennoi, LCMHC

• Family Nurse Practitioner in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.