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

Jacqueline Clark

Individual provider Case Management Agency · NPI 1376265439

Jacqueline Clark is a Case Management Agency in Prestonsburg, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

104 S Frnt Ave
Prestonsburg, KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1376265439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022
Mailing address104 S Front Ave, Prestonsburg, KY 41653-1614

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