Jean Ann Clark, MSRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

446522 Issued in TX

Practice address

201 S Preston Rd
Prosper, TX 75078-8585

Phone

(972) 347-6375

Fax

(972) 347-6375

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurology Associates of Arlington, P.a.

  • Neurology Physician
  • Mansfield, TX
  • NPI 1043338312
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1043321078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S PRESTON RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788585",
            "telephone_number": "972-347-6375",
            "fax_number": "972-347-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S PRESTON RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788585",
            "telephone_number": "972-347-6375",
            "fax_number": "972-347-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "credential": "MSRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "446522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "446522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uma Chintapalli, MD
• Tesia Choi, M.S.,CCC-SLP
• Scott Chowning, MD
• Xin Ya Chuong, MD
• Emmette A Clark, MD
• Kylie Michelle Clay, CPNP-AC
• Melanie Clayton
• Tajhana Coggins
• Meghan Cohen, MD
• Arianna Colbert, APRN- CPNP-PC

• All providers in Prosper, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.