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

Jeremy Clark, CRNP

Individual provider Family Nurse Practitioner · NPI 1699458935

Jeremy Clark, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2023, 3 years ago. Practices with Diabetes Management Partners LLC, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2023
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone: (904) 372-3943
Fax: (904) 212-1618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Eminence Way Ste A, Pell City, AL 35128-2338 — (205) 884-9000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-178487 (AL)

Record details

NPI number1699458935
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedAugust 14, 2023
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Diabetes Management Partners Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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