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

John Clark

Individual provider Case Manager/Care Coordinator · NPI 1104794197

John Clark is a Case Manager/Care Coordinator in Jackson, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

1200 N West Ave
Jackson, MI 49202-2179
Phone: (517) 789-1209
Fax: (517) 796-4532
Show map & directions

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

Additional practice locations (1)

  • 25 Care Dr, Hillsdale, MI 49242-5054 — (517) 439-2641

Specialties & licences

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

Record details

NPI number1104794197
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address1200 N West Ave, Jackson, MI 49202-2179

Other providers in Jackson