Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JADEAN PAULINE CLARK, ATC
ActiveJADEAN PAULINE CLARK, ATC is a Athletic Trainer healthcare provider located in PLANKINTON, South Dakota. NPI 1790563849 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PLANKINTON, SD
Registration Details
- NPI Number
- 1790563849
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2023 (2.873942909008 yrs)
- Last Updated
- Sep 19, 2023
Practice Information
- Address
-
1216 E 10TH STPLANKINTON, SD, 573682045Browse SD providers · Browse ZIP 57368
- Phone
- 6056802477
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.