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

MS. Jacqueline Clarke, APRN

Individual provider Family Nurse Practitioner · NPI 1205494549

MS. Jacqueline Clarke, APRN is a Nurse Practitioner in Temple Terrace, Florida. Qualified in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Phone: (813) 779-6303
Fax: (888) 977-1998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11002059 (FL)

Record details

NPI number1205494549
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJune 2, 2019
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing address12470 Telecom Dr Ste 100, Temple Terrace, FL 33637-0904

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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