SAPPHIRA JO CLARK NP NPI 1407218902

NPI Information

  • NPI: 1407218902
  • Provider Name: SAPPHIRA JO CLARK, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 WESTSIDE MEDICAL BLVD
    LUFKIN, TX
    ZIP 75904
  • Phone: (936) 699-5284

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NPI Details

Sapphira Jo Clark, NP is a family nurse practitioner in Lufkin, TX. Sapphira Jo Clark, NP NPI is 1407218902. 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:

105 WESTSIDE MEDICAL BLVD
LUFKIN, TX
ZIP 75904-461
Phone: (936) 699-5284
Fax: (936) 699-5285

The NPI 1407218902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2016 and was last updated on 10/13/2025.

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
1363LF0000XNurse PractitionerFamilyAP130469TEXASYes

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: 11/21/2025

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