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

Johneisha Denise Clark

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1649827445

Johneisha Denise Clark is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices with Brave Health Inc, a 113-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

3333 W 20th St
Jacksonville, FL 32254-1703
Phone: (904) 695-9145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11004035 (FL)

Record details

NPI number1649827445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2019
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Brave Health Inc. — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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