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

Jessica Jo Clark

Individual provider Case Manager/Care Coordinator · NPI 1649156936

Jessica Jo Clark is a Case Manager/Care Coordinator in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2025

Practice location Address checks out

1519 Mary Lou Retton Dr
Fairmont, WV 26554-2203
Phone: (304) 282-5582
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (WV)

Record details

NPI number1649156936
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 13, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address1519 Mary Lou Retton Dr, Fairmont, WV 26554-2203

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