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DESTINY SADE CLARK
NPI 1497462667
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since October 27, 2022
8496 JULIA MARIE CIR, JACKSONVILLE, FL 32210(904) 497-5484 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Sade Clark NPPES

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

DESTINY SADE CLARK (NPI 1497462667) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1497462667
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDESTINY SADE CLARK
Location Address8496 JULIA MARIE CIRJacksonville, FL 32210-0408
Mailing Address8496 Julia Marie CirJacksonville, FL 32210-0408 · (904) 497-5484
Phone(904) 497-5484
Sole ProprietorYes
Enumeration DateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1497462667 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.
8496 JULIA MARIE CIR, Jacksonville, FL 32210
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Other Providers at the Same Location NPPES

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

D.S.C. SUPPORT SERVICES LLC
In Home Supportive Care
8496 JULIA MARIE CIR
JACKSONVILLE, FL 32210
Duval County (904) 304-8509

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 Destiny Clark's NPI number?

The NPI number for Destiny Clark is 1497462667. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Destiny Clark located?

Destiny Clark practices at 8496 Julia Marie Cir, Jacksonville, FL 32210. The listed phone number is (904) 497-5484.

What is Destiny 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 Destiny Clark was last updated on October 27, 2022. 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.