NPI 1003506361

Madison Jade Clark

Practitioner Student in an Organized Health Care Education/Training Program Wilburton, OK

Practice location

Address: 116 E Main St STE B, Wilburton, OK 74578-4230
Phone: (918) 407-2662
Mailing address: PO Box 58, Red Oak, OK 74563-0058

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Oklahoma →

Registry record

NPI: 1003506361
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2023
Record last updated: 10 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.