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MR. JERRALD CLARK
NPI 1518410448
Nurse's Aide in Tuba City, AZ

Active since July 27, 2016
167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2094(928) 283-2677 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jerrald Clark NPPES

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

MR. JERRALD CLARK (NPI 1518410448) is an individual nurse's aide in Tuba City, Arizona and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1518410448
Entity TypeIndividualMale
Primary Taxonomy376K00000X
Provider Legal NameMR. JERRALD CLARK
Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600
Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2094 · Fax (928) 283-2677
Phone(928) 283-2094
Fax(928) 283-2677
Sole ProprietorNo
Enumeration DateJuly 27, 2016
✔ NPI 1518410448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
167 NORTH MAIN STREET, Tuba City, AZ 86045
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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.

JIMMIE L TAYLOR RN
Registered Nurse (Ambulatory Care)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
DARCY ANNA HASTINGS R.N.
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
REBECCA E ROSS RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
CHARLOTTE SMITH RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
GABRIELLE KAY JOE CNA
Nurse's Aide
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
MR. MATTHEW E TIERNEY RDCS
Specialist/Technologist Cardiovascular (Sonography)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
CALVINA NEZ RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2094
ANDRECE JACKSON RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2094

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 Jerrald Clark's NPI number?

The NPI number for Jerrald Clark is 1518410448. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Where is Jerrald Clark located?

Jerrald Clark practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2094.

What is Jerrald Clark's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Jerrald Clark was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.