Ms Jacqueline Marie Clark, RN - Registered Nurse in Birmingham, AL

Ms Jacqueline Marie Clark, RN is a Registered Nurse based in Birmingham, Alabama. Ms Jacqueline Marie Clark is licensed to practice in Alabama (license number 1-051962) and her current practice location is 700 19th St S, Birmingham, Alabama. She can be reached at her office (for appointments etc.) via phone at (205) 933-8101.

NPI number for Ms Jacqueline Marie Clark is 1013255611 and her current mailing address is 1709 1st Ct W, Birmingham, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013255611.

Contact Information

Ms Jacqueline Marie Clark, RN
700 19th St S,
Birmingham, AL 35233-1927
(205) 933-8101
(205) 558-4783



Provider's Profile

Full NameMs Jacqueline Marie Clark
GenderFemale
SpecialityRegistered Nurse
Location700 19th St S, Birmingham, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013255611
  • Provider Enumeration Date: 01/17/2013
  • Last Update Date: 01/17/2013

Medical Identifiers

Medical identifiers for Ms Jacqueline Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013255611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1-051962 (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Marie Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jacqueline Marie Clark, RN
1709 1st Ct W,
Birmingham, AL 35208-5201

Ph: (205) 933-8101
Ms Jacqueline Marie Clark, RN
700 19th St S,
Birmingham, AL 35233-1927

Ph: (205) 933-8101

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Registered Nurse Nurses in Birmingham, AL

Madison Thomas Hulker, WHNP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1700 6th Ave S, Birmingham, AL 35233
Phone: 205-934-3411    
Shannon Marie Harrison, BSN, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 619 19th St S, Birmingham, AL 35233
Phone: 205-934-6050    
Mrs. Leah York Richardson,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 619 19th St S, Birmingham, AL 35249
Phone: 205-242-8734    
Tyler Bishop,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1802 6th Ave S, Birmingham, AL 35233
Phone: 256-490-6381    
Emily Karanja, CRNP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 50 Medical Park Dr E, Birmingham, AL 35235
Phone: 205-838-3245    
Emily Jane Bloom, NP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 3419 Colonnade Pkwy Ste 600, Birmingham, AL 35243
Phone: 205-598-6800    Fax: 205-598-6700
Latasha Davis, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 615 18th St S, Birmingham, AL 35233
Phone: 205-996-3050    

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