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

Individual provider Gerontology Nurse Practitioner · NPI 1043983489

Jacqueline Clarke, RN is a Nurse Practitioner in Greensboro, North Carolina. Qualified in 2021, 5 years ago. Practices with Physiatry Consultants of Nc PLLC, a 74-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2910 Haig St
Greensboro, NC 27405-3391
Phone: (336) 314-4384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 5015199 (NC)

Record details

NPI number1043983489
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 30, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Physiatry Consultants Of Nc Pllc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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