Jared Dale Clark
APN | Nurse Practitioner - Gerontology | 6+ years Exp
4077 Jefferson Ave, Texarkana
Arkansas, 71854-1509
870-330-9200
Jared Dale Clark is a Texarkana, Arkansas based nurse practitioner with 6 years of experience in Gerontology. He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jared Dale Clark is 215134 for Gerontology in Arkansas. His current practice location is 4077 Jefferson Ave, Texarkana. Patients can reach him at 870-330-9200. Jared Dale Clark is APN with specialization in Gerontology and his NPI number (Unique professional ID assigned by NPPES) is 1467011239.
Jared Dale Clark is specially trained to treat the complex physical and mental health needs of older adults. He have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for his patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Jared Dale Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jared Dale Clark |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Male |
| Credentials: | APN |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4077 Jefferson Ave, Texarkana,
Arkansas, 71854-1509 |
| Phone: | 870-330-9200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6406182260 |
| Enrollment ID: | I20190731003397 |
| NPI Number: | 1467011239 |
| NPI Enumeration Date: | 06 Jun, 2019 |
| NPI Last Update On: | 19 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jared Dale Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 215134 | Gerontology | Arkansas | Primary | |
| AP141588 | Gerontology | Texas | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (450801) | Texarkana, TX | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jared Dale Clark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| East Texas Border Health Clinic (8820038565) | 34 |
| East Texas Border Health Clinic (8820038565) | 34 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jared Dale Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| AP141588 | Other | Texas | APN LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jared Dale Clark
Po Box 1326,
Marshall, Texas |
| Zip: | 75671-1326 |
| Phone Number: | 903-927-3782 |
| Fax Number: | 903-927-1764 |
Patients can reach Jared Dale Clark at
4077 Jefferson Ave, Texarkana, Arkansas or can
call to book an appointment on 870-330-9200.
Comments/ Reviews:
Patients can read all the reviews posted for Jared Dale Clark below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Jared Dale Clark. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.