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

Jesse N Clark, DO

Individual provider Family Medicine Physician · NPI 1154642585

Jesse N Clark, DO is a Family Medicine Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10122 E 10th St Ste 100
Indianapolis, IN 46229-2697
Phone: (317) 355-5717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02004005A (IN)

Record details

NPI number1154642585
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2010
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021
Mailing address6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805

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