Nancy Jeanne Clark, PAC

Physician Assistant · Grants Pass, OR

Individual Active NPI

NPI number 1891714960

Practice location

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone
(541) 472-7000

Open in Google Maps

NPI record

NPI
1891714960
Entity type
Individual (Type 1)
Enumeration date
July 19, 2006
Last updated
May 4, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA150863 OR
Physician Assistant 363A00000X PA17218 CA

Mailing address

825 Bennett Ave
Medford, OR 97504-6715
Phone
(541) 779-5228
Fax
(541) 772-1533

About Nancy Clark

Nancy Jeanne Clark, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 500 SW Ramsey Ave, Grants Pass, OR 97527-5554. The NPI number 1891714960 was assigned on July 19, 2006 and the record was last updated on May 4, 2017.

Nancy Clark lists 2 licenses in the registry: #PA150863 (OR) for Physician Assistant; #PA17218 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nancy Jeanne Clark, PAC?

The NPI number is 1891714960.

What is the phone number of Nancy Clark?

The phone number listed for the practice location is (541) 472-7000.

Where is Nancy Clark located?

500 SW Ramsey Ave, Grants Pass, OR 97527-5554.

What is the taxonomy code for Nancy Clark?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

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.

Other Physician Assistant providers in Grants Pass

All Physician Assistant providers in Grants Pass, OR →