Type 1 individualNPI 1982538344

JENNIFER MARK

101YS0200X · OAKLEY, CA

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 44 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
101YS0200X 101YS0200X Primary

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s