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

MS. Jordan Elizabeth Clark

Individual provider Other Specialist/Technologist · NPI 1720964364

MS. Jordan Elizabeth Clark is an Other Specialist/Technologist in Johnson City, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4156 Bristol Hwy Ste 4
Johnson City, TN 37601-3088
Phone: (859) 576-5997
Show map & directions

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

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1720964364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

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