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

Jessie D Clark

Individual provider Athletic Trainer · NPI 1376190298

Jessie D Clark is an Athletic Trainer in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1201 Wesleyan St
Fort Worth, TX 76105-1536
Phone: (817) 531-4444
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1376190298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2019
Last updated in NPPESAugust 26, 2019
Mailing address1009 Hidden Lake Dr, Burleson, TX 76028-6057

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