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 AP141588 for Gerontology in Texas. 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
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:
28 Aug, 2023
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
AP141588
Gerontology
Texas
Primary
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.