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MADISON JADE CLARK
NPI 1003506361
Student in an Organized Health Care Education/Training Program in Wilburton, OK

Active since May 10, 2023
116 E MAIN ST STE B, WILBURTON, OK 74578(918) 407-2662 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Jade Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON JADE CLARK (NPI 1003506361) is an individual student in an organized health care education/training program in Wilburton, Oklahoma and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1003506361
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADISON JADE CLARK
Location Address116 E MAIN ST STE BWilburton, OK 74578-4230
Mailing AddressPo Box 58Red Oak, OK 74563-0058 · (918) 471-9014
Phone(918) 407-2662
Sole ProprietorNo
Enumeration DateMay 10, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1003506361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
116 E MAIN ST STE B, Wilburton, OK 74578
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Clark's NPI number?

The NPI number for Madison Clark is 1003506361. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Madison Clark located?

Madison Clark practices at 116 E Main St Ste B, Wilburton, OK 74578. The listed phone number is (918) 407-2662.

What is Madison Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Madison Clark was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.