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JORDAN MCKENZIE CLARK
NPI 1831035955
Student in an Organized Health Care Education/Training Program in Malone, NY

Active since April 29, 2026
125 FINNEY BLVD, MALONE, NY 12953(518) 481-8160(518) 481-8161 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Mckenzie Clark NPPES

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

JORDAN MCKENZIE CLARK (NPI 1831035955) is an individual student in an organized health care education/training program in Malone, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1831035955
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN MCKENZIE CLARK
Location Address125 FINNEY BLVDMalone, NY 12953-1067
Mailing Address324 County Route 51 Bldg 1Malone, NY 12953-4502 · (518) 483-1251 · Fax (518) 483-2242
Phone(518) 481-8160
Fax(518) 481-8161
Sole ProprietorNo
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1831035955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
125 FINNEY BLVD, Malone, NY 12953
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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.

EMMA TOWER
Case Manager/Care Coordinator
125 FINNEY BLVD
MALONE, NY 12953
Franklin County (518) 483-8160
IAN FREDERICK RN
Registered Nurse
125 FINNEY BLVD
MALONE, NY 12953
Franklin County (518) 481-8160
AVA DEANGELIS
Case Manager/Care Coordinator
125 FINNEY BLVD
MALONE, NY 12953
Franklin County (518) 481-8160
AARYUJ RAMNEESH TREHAN
Case Manager/Care Coordinator
125 FINNEY BLVD
MALONE, NY 12953
Franklin County (518) 481-8160
KAYLA BINK PEER SUPPORT SPEC.
Peer Specialist
125 FINNEY BLVD
MALONE, NY 12953
Franklin County (518) 483-1251
DR. MARCIE GOODROW EDD
Specialist
125 FINNEY BLVD
MALONE, NY 12953
Franklin County (518) 651-2302
ANTHONY G BUCCI PRS/PSR
Case Manager/Care Coordinator
125 FINNEY BLVD
MALONE, NY 12953
Franklin County (518) 481-8160
MARGARET GARNEAU
Case Manager/Care Coordinator
125 FINNEY BLVD
MALONE, NY 12953
Franklin County (518) 481-8160

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 1831035955. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Jordan Clark located?

Jordan Clark practices at 125 Finney Blvd, Malone, NY 12953. The listed phone number is (518) 481-8160.

What is Jordan Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Clark was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.