MRS. DEBRA DOUBLET CLARK PA-C
NPI 1649236472
Physician Assistant in Pine Bluff, AR

Active since April 21, 2006
1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603(870) 534-3449(870) 535-3973 Get Directions Write a Review

NPPES record last updated: February 23, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Debra Doublet Clark Pa-c NPPES

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

MRS. DEBRA DOUBLET CLARK PA-C (NPI 1649236472) is an individual physician assistant in Pine Bluff, Arkansas, licensed in Arkansas (PA163) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1649236472
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. DEBRA DOUBLET CLARKCredential: PA-C
Location Address1609 W 40TH AVE, SUITE 501Pine Bluff, AR 71603-6329
Mailing Address1609 W 40th Ave, Suite 501Pine Bluff, AR 71603-6329 · (870) 534-3449 · Fax (870) 535-3973
Fax(870) 535-3973
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateFebruary 23, 2009
NPI 1649236472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AR · PA163
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1609 W 40TH AVE, Pine Bluff, AR 71603

Other Identifiers 2

Medicare UPINR98138
Medicare ID-Type Unspecified54822P020AR

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.

Psychiatry & Neurology (Neurology)
1609 W 40TH AVE, SUITE 401
PINE BLUFF, AR 71603
Orthopaedic Surgery
1609 W 40TH AVE, STE 501
PINE BLUFF, AR 71603
Internal Medicine (Gastroenterology)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Clinic/Center (Ambulatory Surgical)
1609 W 40TH AVE, JRMC PROFESSIONAL CENTER, SUITE 103
PINE BLUFF, AR 71603
Clinic/Center (Medical Specialty)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Health Maintenance Organization
1609 W 40TH AVE, SUITE 207
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, SUITE 403
PINE BLUFF, AR 71603

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 Debra Clark's NPI number?

The NPI number for Debra Clark is 1649236472. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Debra Clark located?

Debra Clark practices at 1609 W 40th Ave Suite 501, Pine Bluff, AR 71603. The listed phone number is (870) 534-3449.

What is Debra Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Debra Clark was last updated on February 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.