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JAY CHRISTIAN CLARK
NPI 1619664505
Military Health Care Provider in Tripler Amc, HI

Active since April 20, 2023
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859(888) 683-2778 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jay Christian Clark NPPES

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

JAY CHRISTIAN CLARK (NPI 1619664505) is an individual military health care provider provider in Tripler Amc, Hawaii, licensed in Hawaii (DOSR-617) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1619664505
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameJAY CHRISTIAN CLARK
Location Address1 JARRETT WHITE RDTripler Amc, HI 96859-5001
Mailing Address1 Jarrett White RdTripler Amc, HI 96859-5001
Phone(888) 683-2778
Sole ProprietorNo
Enumeration DateApril 20, 2023
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1619664505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in HI · DOSR-617
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
1 JARRETT WHITE RD, Tripler Amc, HI 96859
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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.

CORINNE REYES LCSW
Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8785
DANIEL HEILMANN DO
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-6697
MR. ADRIAN SCOTT WORTHEN M.D.
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 433-4049
DR. JANE ELIZABETH MARSHALL OTD, OTR/L
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (937) 231-3795
TINA WILSON DO
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (210) 220-7961
MRS. LASHON SHEREMA WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8601
DR. NICHOLAS PATRICK MAHER DO
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (888) 683-2778
DR. KIMBERLY D DAVIS MD
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 471-9998

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 Jay Clark's NPI number?

The NPI number for Jay Clark is 1619664505. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Jay Clark located?

Jay Clark practices at 1 Jarrett White Rd, Tripler Amc, HI 96859. The listed phone number is (888) 683-2778.

What is Jay Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jay Clark was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.