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

Jesse Clark, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1760204796

Jesse Clark, CNIM is an Electroneurodiagnostic Specialist/Technologist in Brentwood, Tennessee. Licensed in New Jersey. Registered with an NPI since 2024.

Licensed in
NJ
In the registry since
2024

Practice location Address checks out

3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone: (800) 348-4565
Show map & directions

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

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X (NJ)

Record details

NPI number1760204796
Entity typeIndividual (Type 1)
GenderMale
Credentials CNIM
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address3 Maryland Farms Ste 200, Brentwood, TN 37027-5780

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