Individual provider · Type 1 NPI
Jared Dale Clark, APN
Gerontology Nurse Practitioner · New Boston, TX
NPI number
1467011239
Active
Practice location
114 W US Highway 82
New Boston, TX 75570-2804
Fax (479) 530-3245
Mailing address
PO Box 1326
Marshall, TX 75671-1326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 215134 (AR) |
| Gerontology Nurse Practitioner | 363LG0600X | AP141588 (TX) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1467011239
Jared Dale Clark, APN's National Provider Identifier is 1467011239, issued on Jun 6, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New Boston, TX. The record was last updated on Jun 16, 2026.