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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JASON E CLARK

Active Sole Proprietor

MR. JASON E CLARK is a Case Management Agency healthcare provider located in JACKSONVILLE, Florida. NPI 1568711513 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · JACKSONVILLE, FL

Registration Details

NPI Number
1568711513
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2012 (13.970223065761 yrs)
Last Updated
Sep 6, 2012
License
005491100 (FL)
Sole Proprietor
Yes

Practice Information

Address
4615 PHILIPS HIGHWAY
JACKSONVILLE, FL, 322077265
Browse FL providers · Browse ZIP 32207
Phone
9047397006
Fax
9047373412
Primary Specialty
Case Management Agency
251B00000X

Other Case Management Agency Providers in JACKSONVILLE, FL

Name Credential NPI
MRS. HELEN BREENE MUNDY 1699973958
MR. DAN ROBERT ASHDON 1437357696
KISZZIE JONES 1235338203
ELIZABETH PARKER 1346449311
MRS. HEATHER VAUGHAN 1093905028
JOHN ESSEX 1891968632
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.