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

Jordan Clark, PA-C

Individual provider Physician Assistant · NPI 1336701911

Jordan Clark, PA-C is a Physician Assistant in Fort Riley, Kansas. Licensed in Kansas. Registered with an NPI since 2019.

Licensed in
KS
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

650 Huebner Rd
Fort Riley, KS 66442-4030
Phone: (785) 239-3627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-02330 (KS)

Record details

NPI number1336701911
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing addressBldg 650 Huebner Rd, Fory Riley, KS 66442

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