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MR. JEREMY MICHAEL CLARK
NPI 1972107704
Technician - Personal Care Attendant in Paden City, WV

Active since November 23, 2020
714 N 4TH AVE, PADEN CITY, WV 26159(757) 532-0680 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Nov 23, 2020 (2 updates tracked since 2020).

About Mr. Jeremy Michael Clark NPPES

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

MR. JEREMY MICHAEL CLARK (NPI 1972107704) is an individual personal care attendant in Paden City, West Virginia and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1972107704
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMR. JEREMY MICHAEL CLARK
Location Address714 N 4TH AVEPaden City, WV 26159-1614
Mailing Address714 N 4th AvePaden City, WV 26159-1614 · (757) 532-0680
Phone(757) 532-0680
Sole ProprietorYes
Enumeration DateNovember 23, 2020
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1972107704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
714 N 4TH AVE, Paden City, WV 26159
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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 Jeremy Clark's NPI number?

The NPI number for Jeremy Clark is 1972107704. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Jeremy Clark located?

Jeremy Clark practices at 714 N 4th Ave, Paden City, WV 26159. The listed phone number is (757) 532-0680.

What is Jeremy Clark's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jeremy Clark was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.