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

Mr. Jason E Clark

Individual provider Case Management Agency · NPI 1568711513

Mr. Jason E Clark is a Case Management Agency in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

4615 Philips Hwy
Jacksonville, FL 32207-7265
Phone: (904) 739-7006
Fax: (904) 737-3412
Show map & directions

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

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence 005491100 (FL)

Record details

NPI number1568711513
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 6, 2012
Last updated in NPPESSeptember 6, 2012
Mailing address4615 Philips Highway, Jacksonville, FL 32207-7265

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