JEREMY L. CLARK NP-C NPI 1003334665

NPI Information

NPI: 1003334665
Provider Name: JEREMY L. CLARK, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM

PECOS Registration: Yes

Address:
985 9TH AVE SW STE 307
BESSEMER, AL
ZIP 35022
Phone: (205) 481-7384
Get Directions

Jeremy L. Clark, NP-C is a family nurse practitioner in Bessemer, AL with 7 years of experience. Jeremy L. Clark, NP-C NPI is 1003334665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

985 9TH AVE SW STE 307
BESSEMER, AL
ZIP 35022-809
Phone: (205) 481-7384

The NPI 1003334665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/5/2017 and was last updated on 5/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1-148637	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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