NPI 1710569207
Jesse Clark
Practice location
- Address
- 8905 S Pecos Rd STE 23c, Henderson, NV 89074-7148
- Phone
- (888) 592-7475
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1710569207
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Apr 2021
- Record last updated
- 23 Apr 2021
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.