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

Jared Dale Clark, APN

Individual provider Gerontology Nurse Practitioner · NPI 1467011239

Jared Dale Clark, APN is a Nurse Practitioner in New Boston, Texas. Qualified in 2019, 7 years ago. Practices with New Boston Medical Group, LLP, a 4-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
7
Licensed in
AR, TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

114 W US Highway 82
New Boston, TX 75570-2804
Phone: (479) 530-3245
Fax: (479) 530-3245
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 215134 (AR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP141588 (TX)

Record details

NPI number1467011239
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorYes
NPI enumeratedJune 6, 2019
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing addressPo Box 1326, Marshall, TX 75671-1326

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice New Boston Medical Group, Llp — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare