Individual provider · Type 1 NPI

Jordan Shaye Clark, DC

Chiropractor · Port St. Lucie, FL

NPI number 1831894906 Active

Practice location

8108 Carnoustie Pl
Port St. Lucie, FL 34986-3317

Call (732) 850-8304 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH14473 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1831894906

Jordan Shaye Clark, DC's National Provider Identifier is 1831894906, issued on Mar 30, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Mar 30, 2023.