Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jessica Marion Clark, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457914160

Jessica Marion Clark, PMHNP is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2019, 7 years ago. Practices with Emily Program P C, a 50-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

2265 Como Ave
Saint Paul, MN 55108-1737
Phone: (866) 821-0821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 640 Jackson St, Saint Paul, MN 55101-2502 — (651) 254-3456

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 6747 (MN)

Record details

NPI number1457914160
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Emily Program P C — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Emily Program P C

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 50 clinicians in the practice; 12 are shown here.

Other providers in Saint Paul