JERILLYN MARIE CLARK NPI 1851406060

NPI Information

  • NPI: 1851406060
  • Provider Name: JERILLYN MARIE CLARK
  • Classification: Audiologist-Hearing Aid Fitter - 237600000X
  • Entity Type: Individual
  • Address: 6441 W NORVELL BRYANT HWY
    CRYSTAL RIVER, FL
    ZIP 34429
  • Phone: (352) 795-1775

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NPI Details

Jerillyn Marie Clark is an audiologist hearing aid fitter in Crystal River, FL. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. Jerillyn Marie Clark NPI is 1851406060. 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:

6441 W NORVELL BRYANT HWY
CRYSTAL RIVER, FL
ZIP 34429-413
Phone: (352) 795-1775
Fax: (352) 795-6456

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/9/2007.

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
1237600000XAudiologist-Hearing Aid FitterAS2131FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AS2131OTHERFLORIDAHEARING AID LICENSE

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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