Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Prow Clark, MD

Individual provider Family Medicine Physician · NPI 1346320140

Dr. Jack Prow Clark, MD is a Family Medicine Physician in Syracuse, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

518 EMS D15 Ln
Syracuse, IN 46567-8026
Phone: (574) 457-3292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01017687 (IN)

Record details

NPI number1346320140
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address518 Ems D15 Ln, Syracuse, IN 46567-8026

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