Individual provider · Type 1 NPI
Jacquelyne Antionette Clark
Student in an Organized Health Care Education/Training Program · Deltona, FL
NPI number
1245136498
Active
Practice location
2209 Danforth Ave
Deltona, FL 32738-3103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Deltona
- Andy Torres, DMDStudent in an Organized Health Care Education/Training Program Deltona, FL NPI 1588509434
- Kevin Matthew Palmer, MDStudent in an Organized Health Care Education/Training Program Deltona, FL NPI 1841930633
- Joseph Anderson Ii, MDStudent in an Organized Health Care Education/Training Program Deltona, FL NPI 1871064865
About NPI 1245136498
Jacquelyne Antionette Clark's National Provider Identifier is 1245136498, issued on Oct 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Deltona, FL. The record was last updated on Oct 15, 2026.