Individual provider · Type 1 NPI
Jayson Clark
Driver · Lovington, NM
NPI number
1992477871
Active
Practice location
40 W Dickens Rd
Lovington, NM 88260-8715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 57850 (NM) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1992477871
Jayson Clark's National Provider Identifier is 1992477871, issued on Sep 29, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Lovington, NM. The record was last updated on Dec 29, 2021.