Madison Jade Clark is a student in an organized health care education training program in Wilburton, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Madison Jade Clark NPI is 1003506361. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
116 E MAIN ST STE B
WILBURTON, OK
ZIP 74578-230
Phone: (918) 407-2662
The enumeration date for this NPI number is 5/10/2023 and was last updated on 5/10/2023.