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

Mr. Hollis Johnson Clark Jr., PA-C

Individual provider Physician Assistant · NPI 1154659894

Mr. Hollis Johnson Clark Jr., PA-C is a Physician Assistant in Herrin, Illinois. Licensed in Kentucky. Registered with an NPI since 2009.

Licensed in
KY
In the registry since
2009
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

510 Lincoln Dr
Herrin, IL 62948-6334
Phone: (618) 997-6800
Fax: (618) 997-1187
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC051 (KY)

Record details

NPI number1154659894
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2009
Last updated in NPPESFebruary 23, 2017

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