Jennifer L Clark, PHARMD, BCCCP

Primary specialty

Critical Care PharmacistTaxonomy code 1835C0205X

License

116145 Issued in MN

Practice address

1406 6TH Ave N
Saint Cloud, MN 56303-1901

Phone

(320) 251-2700

NPI assigned

Dec 1, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1538021399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 3RD ST N",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563201450",
            "telephone_number": "320-251-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031901",
            "telephone_number": "320-251-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PHARMD, BCCCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "MN",
            "license": "116145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of Happiness LLC
• Cierra Michelle Cissney
• City of St Cloud
• Kaitlin Marie Clafton, LPCC
• Clarity Armhs LLC
• Paul Allen Clark, OTR/L
• Tashia Clark
• Benjamin Clemenson
• Alyssa Clements, PA-C
• Robert Clemons, LMFT

• Critical Care Pharmacist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Critical Care Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.