Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAYSON CLARK
ActiveMR. JAYSON CLARK is a Driver healthcare provider located in LOVINGTON, New Mexico. NPI 1992477871 is currently active in the NPPES registry. Verify at CMS.
Driver · LOVINGTON, NM
Registration Details
- NPI Number
- 1992477871
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2021 (4.8500667267369 yrs)
- Last Updated
- Dec 29, 2021
- License
-
57850 (NM)
Practice Information
- Address
-
40 W DICKENS RDLOVINGTON, NM, 882608715Browse NM providers · Browse ZIP 88260
- Phone
- 5756594874
- Primary Specialty
-
Driver
172A00000X
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.