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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACQUELYNE ANTIONETTE CLARK
NPI 1245136498
Student in an Organized Health Care Education/Training Program in Deltona, FL

Active since October 15, 2026
2209 DANFORTH AVE, DELTONA, FL 32738(386) 307-9450 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacquelyne Antionette Clark NPPES

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

JACQUELYNE ANTIONETTE CLARK (NPI 1245136498) is an individual student in an organized health care education/training program in Deltona, Florida and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1245136498
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELYNE ANTIONETTE CLARK
Location Address2209 DANFORTH AVEDeltona, FL 32738-3103
Mailing Address2209 Danforth AveDeltona, FL 32738-3103
Phone(386) 307-9450
Sole ProprietorNo
Enumeration DateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1245136498 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.
2209 DANFORTH AVE, Deltona, FL 32738
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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 Jacquelyne Clark's NPI number?

The NPI number for Jacquelyne Clark is 1245136498. It was assigned to this individual provider in the NPPES registry on October 15, 2026.

Where is Jacquelyne Clark located?

Jacquelyne Clark practices at 2209 Danforth Ave, Deltona, FL 32738. The listed phone number is (386) 307-9450.

What is Jacquelyne 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 Jacquelyne Clark was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.