Jared Dale Clark, APN

NPI #1467011239 in Texarkana, Arkansas

Provider Information

NPI Number
1467011239
Entity Type
Individual
Name
Jared Dale Clark, APN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Gerontology
Credential
APN
Enumeration Date
Jun 6, 2019
Last Updated
Sep 19, 2025

Practice Location

Address
4077 JEFFERSON AVE
ZIP Code
71854-1509
Phone
(870) 330-9200

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology

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