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JESSIE D CLARK
NPI 1376190298
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since August 26, 2019
1201 WESLEYAN ST, FORT WORTH, TX 76105(817) 531-4444 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessie D Clark NPPES

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

JESSIE D CLARK (NPI 1376190298) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1376190298
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSIE D CLARK
Location Address1201 WESLEYAN STFort Worth, TX 76105-1536
Mailing Address1009 Hidden Lake DrBurleson, TX 76028-6057 · (817) 602-1468
Phone(817) 531-4444
Sole ProprietorYes
Enumeration DateAugust 26, 2019
✔ NPI 1376190298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1201 WESLEYAN ST, Fort Worth, TX 76105
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KYLE C MORGAN ATC, LAT
Specialist/Technologist (Athletic Trainer)
1201 WESLEYAN ST
FORT WORTH, TX 76105
Tarrant County (817) 531-7590
TAIS LIMON
Specialist/Technologist (Athletic Trainer)
1201 WESLEYAN ST
FORT WORTH, TX 76105
Tarrant County (682) 718-7204
SHYLA FLAVEL MAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1201 WESLEYAN ST
FORT WORTH, TX 76105
Tarrant County (871) 531-7590
SARAH ELIZABETH SHIN RN
Nurse Anesthetist, Certified Registered
1201 WESLEYAN ST
FORT WORTH, TX 76105
Tarrant County (817) 531-4406
BRITTANY M CARDONE
Student in an Organized Health Care Education/Training Program
1201 WESLEYAN ST
FORT WORTH, TX 76105
Tarrant County (817) 531-4444
DAMON L DECARRILLO STUDENT
Student in an Organized Health Care Education/Training Program
1201 WESLEYAN ST
FORT WORTH, TX 76105
Tarrant County (917) 696-7438
HAYDEN BROCK
Specialist/Technologist (Athletic Trainer)
1201 WESLEYAN ST
FORT WORTH, TX 76105
Tarrant County (817) 531-4444
YUKHARI SERVANCE MAT, LAT, ATC, PES
Specialist/Technologist (Athletic Trainer)
1201 WESLEYAN ST
FORT WORTH, TX 76105
Tarrant County (817) 531-4444

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 Jessie Clark's NPI number?

The NPI number for Jessie Clark is 1376190298. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Jessie Clark located?

Jessie Clark practices at 1201 Wesleyan St, Fort Worth, TX 76105. The listed phone number is (817) 531-4444.

What is Jessie 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 Jessie Clark was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.