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JACQUELYN CLARK
NPI 1245768415
Specialist in Columbia, SC

Active since May 31, 2017
2000 N BELTLINE BLVD APT 102E, COLUMBIA, SC 29204(803) 814-2566 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn Clark NPPES

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

JACQUELYN CLARK (NPI 1245768415) is an individual specialist in Columbia, South Carolina and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1245768415
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJACQUELYN CLARK
Location Address2000 N BELTLINE BLVD APT 102EColumbia, SC 29204-3976
Mailing Address2000 N Beltline Blvd Apt 102eColumbia, SC 29204-3976
Phone(803) 814-2566
Sole ProprietorYes
Enumeration DateMay 31, 2017
✔ NPI 1245768415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2000 N BELTLINE BLVD APT 102E, Columbia, SC 29204
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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 Jacquelyn Clark's NPI number?

The NPI number for Jacquelyn Clark is 1245768415. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Jacquelyn Clark located?

Jacquelyn Clark practices at 2000 N Beltline Blvd Apt 102E, Columbia, SC 29204. The listed phone number is (803) 814-2566.

What is Jacquelyn Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Clark was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.