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

Mr. Jerrald Clark

Individual provider Nurse's Aide · NPI 1518410448

Mr. Jerrald Clark is a Nurse's Aide in Tuba City, Arizona. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

167 N Main St
Tuba City, AZ 86045-0600
Phone: (928) 283-2094
Fax: (928) 283-2677
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X

Record details

NPI number1518410448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 27, 2016
Last updated in NPPESJuly 27, 2016

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