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

Jeremy Pat Clark

Individual provider Child Mental Illness Respite Care · NPI 1942190723

Jeremy Pat Clark is a Child Mental Illness Respite Care in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

18556 Drexel St
Omaha, NE 68135-1785
Phone: (402) 709-6177
Show map & directions

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

Specialties & licences

Child Mental Illness Respite Care (primary) Taxonomy 385HR2055X

Record details

NPI number1942190723
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

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