Individual provider · Type 1 NPI

Jainie Clark, RN, NP-C

Family Nurse Practitioner · Indianapolis, IN

NPI number 1043972326 Active

Practice location

8111 S Emerson Ave Ste 101
Indianapolis, IN 46237-8601

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X28171363A (IN)
Family Nurse Practitioner Primary 363LF0000X71011866A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1043972326

Jainie Clark, RN, NP-C's National Provider Identifier is 1043972326, issued on Oct 13, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 9, 2023.