JAY CHRISTIAN CLARK NPI 1619664505

NPI Information

NPI: 1619664505
Provider Name: JAY CHRISTIAN CLARK
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
1 JARRETT WHITE RD
TRIPLER AMC, HI
ZIP 96859
Phone: (888) 683-2778
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Jay Christian Clark is a military health care provider in Tripler Amc, HI. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Jay Christian Clark NPI is 1619664505. 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:

1 JARRETT WHITE RD
TRIPLER AMC, HI
ZIP 96859-001
Phone: (888) 683-2778

The enumeration date for this NPI number is 4/20/2023 and was last updated on 2/20/2024.

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	171000000X	Military Health Care Provider				Yes
2	171000000X	Military Health Care Provider		DOSR-617	HAWAII	No

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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