Jared Dale Clark, APN

Nurse practitioner in New Boston, Texas · NPI 1467011239

Jared Clark is one of 9 nurse practitioners practicing in New Boston, Texas. Jared Clark practices with East Texas Border Health Clinic and New Boston Medical Group, LLP.

Registry record (NPPES)

NPI
1467011239
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Address on file
114 W US Highway 82
New Boston, TX 75570-2804
(479) 530-3245
Enumerated
Jun 6, 2019
Record last updated
Jun 16, 2026
License states listed
AR, TX

Medicare (CMS)

Enrollment
Medicare-enrolled in AR, TX
Nurse Practitioner
Revalidation due
No date set by CMS

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  • Procedure volumes by CPT code
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  • Full enrollment history
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Practice locations

More nurse practitioners in New Boston

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.