MS. JORDAN ELIZABETH CLARK
NPI 1720964364
Specialist/Technologist, Other in Johnson City, TN

Q: What is Jordan Clark's NPI number?

The NPI number for Jordan Clark is 1720964364. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Q: What is Jordan Clark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Clark was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since August 11, 2025

4156 BRISTOL HWY STE 4, JOHNSON CITY, TN 37601(859) 576-5997 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2025, Aug 11, 2025 (2 updates tracked since 2025).

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About Ms. Jordan Elizabeth Clark NPPES

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

MS. JORDAN ELIZABETH CLARK (NPI 1720964364) is an individual specialist/technologist, other provider in Johnson City, Tennessee and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1720964364

Entity TypeIndividualFemale

Primary Taxonomy246Z00000X

Provider Legal NameMS. JORDAN ELIZABETH CLARK

Location Address4156 BRISTOL HWY STE 4Johnson City, TN 37601-3088

Mailing Address2020 Indian Ridge Rd Apt 85Johnson City, TN 37604-4293 · (859) 576-5997

Phone(859) 576-5997

Sole ProprietorYes

Enumeration DateAugust 11, 2025

Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1720964364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246Z00000X

Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

4156 BRISTOL HWY STE 4, Johnson City, TN 37601

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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 1720964364. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Jordan Clark located?

Jordan Clark practices at 4156 Bristol Hwy Ste 4, Johnson City, TN 37601. The listed phone number is (859) 576-5997.

What is Jordan Clark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Jordan Clark was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.