MS. JORDAN CLARK
Specialist/Technologist, Other
Active
Individual
NPI: 1720964364
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist, Other | 246Z00000X | Yes | - |
Frequently Asked Questions
NPI 1720964364 is the National Provider Identifier for MS. JORDAN CLARK, a Specialist/Technologist, Other provider located in Johnson City, TN. This NPI was enumerated on August 11, 2025.
MS. JORDAN CLARK practices at 4156 BRISTOL HWY STE 4, Johnson City, TN 37601.
Quick Facts
- NPI
- 1720964364
- Type
- Individual
- Enumerated
- Aug 11, 2025
- Last Updated
- Dec 12, 2025
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