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

Jacquelyn Clark

Individual provider Specialist · NPI 1245768415

Jacquelyn Clark is a Specialist in Columbia, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

2000 N Beltline Blvd Apt 102E
Columbia, SC 29204-3976
Phone: (803) 814-2566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1245768415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2017
Last updated in NPPESMay 31, 2017

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