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JORDAN BEVERLY PAIGE CLARK
NPI 1689352247
Peer Specialist in Tulsa, OK

Active since July 05, 2023
6333 E SKELLY DR, TULSA, OK 74135(918) 664-4224 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Beverly Paige Clark NPPES

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

JORDAN BEVERLY PAIGE CLARK (NPI 1689352247) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1689352247
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJORDAN BEVERLY PAIGE CLARK
Location Address6333 E SKELLY DRTulsa, OK 74135-6106
Mailing Address6333 E Skelly DrTulsa, OK 74135-6106 · (918) 664-4224
Phone(918) 664-4224
Sole ProprietorNo
Enumeration DateJuly 5, 2023
NPPES CertifiedJuly 5, 2023
✔ NPI 1689352247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
6333 E SKELLY DR, Tulsa, OK 74135
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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.

JERRY LEE MANUS
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KRYSTAL DAWN HUTCHINSON
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7216
MS. ABIGAIL ELIZABETH CARLISLE
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (000) 000-0000
TANYA CRAWFORD RN
Registered Nurse
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KELLI ANN ORDORICA
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7151
JAYSON SWISHER
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
IVAN HONEYCUTT
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 222-2222
GLORY S KALAKURCHA M.A.
Counselor (Addiction (Substance Use Disorder))
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224

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 Jordan Clark's NPI number?

The NPI number for Jordan Clark is 1689352247. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Jordan Clark located?

Jordan Clark practices at 6333 E Skelly Dr, Tulsa, OK 74135. The listed phone number is (918) 664-4224.

What is Jordan Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jordan Clark was last updated on July 5, 2023. 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.