JADA NYIESHA CLARK
NPI 1396578134
Counselor - Professional in Danville, VA
About Jada Nyiesha Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADA NYIESHA CLARK (NPI 1396578134) is an individual professional provider in Danville, Virginia, licensed in Virginia (0701013914) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jada Nyiesha Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DANVILLE, VA 24540
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 Jada Clark's NPI number?
The NPI number for Jada Clark is 1396578134. It was assigned to this individual provider in the NPPES registry on August 26, 2024.
Where is Jada Clark located?
Jada Clark practices at 105 Vicar Pl, Danville, VA 24540. The listed phone number is (434) 272-8372.
What is Jada Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jada Clark enrolled in Medicare?
Yes. Jada Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jada Clark was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
