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

Jacquelyn Sue Grace Clark, DO

Individual provider Family Medicine Physician · NPI 1780334656

Jacquelyn Sue Grace Clark, DO is a Family Practice in Crossett, Arkansas. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2022, 4 years ago. Practices with Crossett Health Foundation, a 23-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
AR
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

909 Unity Rd
Crossett, AR 71635-9444
Phone: (870) 364-9111
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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 E-19213 (AR)

Record details

NPI number1780334656
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 24, 2022
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address909 Unity Rd, Crossett, AR 71635-9444

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2022 (4 years in practice)
Group practice Crossett Health Foundation — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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