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

Dr. Jevin Clark, MD

Individual provider Internal Medicine Physician · NPI 1912698648

Dr. Jevin Clark, MD is an Internal Medicine Physician in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2023.

Licensed in
RI
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence CLP05853 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence CLP05853 (RI)

Record details

NPI number1912698648
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023
Mailing address593 Eddy St, Providence, RI 02903-4923

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