Individual provider · Type 1 NPI

Jaimee Michelle Clark, FNP-BC

Family Nurse Practitioner · Independence, MO

NPI number 1972230282 Active

Practice location

11605 E 23rd St S
Independence, MO 64050-4201

Fax (816) 579-6892

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2000148575 (MO)
Family Nurse Practitioner 363LF0000X53-82323-111 (KS)

Family Nurse Practitioner: Definition to come...

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About NPI 1972230282

Jaimee Michelle Clark, FNP-BC's National Provider Identifier is 1972230282, issued on Aug 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Independence, MO. The record was last updated on Oct 16, 2026.