Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB NICOLAS CLARK, PA-C
Active Sole ProprietorJACOB NICOLAS CLARK, PA-C is a Physician Assistant healthcare provider located in LANSING, Michigan. NPI 1972210920 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LANSING, MI
Registration Details
- NPI Number
- 1972210920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2022 (3.7920698348151 yrs)
- Last Updated
- Jun 2, 2025
- License
-
5601011462APP22 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 E MICHIGAN AVE STE 235LANSING, MI, 489121852Browse MI providers · Browse ZIP 48912
- Phone
- 5173645858
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LANSING, MI
| Name | Credential | NPI |
|---|---|---|
| JAMES B STEWART | PA | 1407855133 |
| PAUL F GUALTIER | PAC | 1093705493 |
| MR. KEVIN A DUFFY | PAC | 1164412565 |
| MR. KEVIN F JAGER | PA-C | 1821088014 |
| CHARLES R DILLAY | PA | 1669420154 |
| MISS SHERREN M WHITE | PA-C | 1710910641 |
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.