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

Jared Michael Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134967557

Jared Michael Clark is a Student in an Organized Health Care Education/Training Program in Bloomington, Indiana. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone: (812) 353-5252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134967557
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address111 E 6th St Apt D, Bloomington, IN 47408-3366

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