Jennifer Clark is one of 49 nurse practitioners practicing in Decatur, Texas .
Jennifer Clark practices with Vitality Medical PLLC.
Registry record (NPPES)
NPI
1295319374
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
215 Westside Dr Ste 200
Enumerated
May 5, 2021
Record last updated
Jan 26, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
215 Westside Dr Suite 200Decatur , TX 76234
More nurse practitioners in Decatur
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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