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

Jennifer Shae Clark, NP

Individual provider Family Nurse Practitioner · NPI 1295319374

Jennifer Shae Clark, NP is a Nurse Practitioner in Decatur, Texas. Qualified in 2020, 6 years ago. Practices with Vitality Medical PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

215 Westside Dr Ste 200
Decatur, TX 76234-3869
Phone: (940) 273-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1010436 (TX)

Record details

NPI number1295319374
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 3, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vitality Medical Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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