Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN CLARK, PA-C
ActiveJORDAN CLARK, PA-C is a Physician Assistant healthcare provider located in FORT RILEY, Kansas. NPI 1336701911 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT RILEY, KS
Registration Details
- NPI Number
- 1336701911
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2019 (7.0712108683355 yrs)
- Last Updated
- Dec 2, 2025
- License
-
15-02330 (KS)
Practice Information
- Address
-
650 HUEBNER RDFORT RILEY, KS, 664424030Browse KS providers · Browse ZIP 66442
- Phone
- 7852393627
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT RILEY, KS
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES DAVID DAY | PA-C, MPAS | 1396720488 |
| MR. JUSTIN SCOTT MULBERY | P.A.-C | 1447298377 |
| JOHN RICHARD GRALOW | PAC | 1043313323 |
| MISS DREW J. MARR | PAC | 1063516474 |
| BERTIS THOMAS MCMILLAN | PA | 1093809717 |
| BRIAN DAVID CALKINS | PA-C | 1922194505 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.