Jessiah Clark

Specialist · Westminster, MA

Individual Active NPI

NPI number 1467277749

Practice location

9 Village Inn Rd
Westminster, MA 01473-1643
Phone
(978) 571-6050

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NPI record

NPI
1467277749
Entity type
Individual (Type 1)
Enumeration date
November 20, 2024
Last updated
November 20, 2024
Certified
November 20, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Mailing address

105 Wallingford Ave
Athol, MA 01331-1506
Phone
(978) 847-7975

About Jessiah Clark

Jessiah Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 9 Village Inn Rd, Westminster, MA 01473-1643. The NPI number 1467277749 was assigned on November 20, 2024 and the record was last updated on November 20, 2024.

Frequently asked questions

What is the NPI number of Jessiah Clark?

The NPI number is 1467277749.

What is the phone number of Jessiah Clark?

The phone number listed for the practice location is (978) 571-6050.

Where is Jessiah Clark located?

9 Village Inn Rd, Westminster, MA 01473-1643.

What is the taxonomy code for Jessiah Clark?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.