Meagan Nichole Clark, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

050543290615E Issued in AR

Practice address

1011 Gina Cir
Jacksonville, AR 72076-6073

Phone

(501) 693-8608

NPI assigned

Nov 11, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1225852874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 GINA CIR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720766073",
            "telephone_number": "501-693-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 GINA CIR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720766073",
            "telephone_number": "501-693-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MEAGAN",
        "middle_name": "NICHOLE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "AR",
            "license": "050543290615E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Jacksonville (City of Jacksonville EMS)
• Clararose Home Care
• Angela Clark, LPC
• Brianni Clark
• Kala Allene Clark, MHPP
• Casey Marie Cline, COTA/L
• Clinical Specialty Infusions LLC (Csi Pharmacy)
• Melissa Sue Cohen, MMT, LE
• David Cole, DDS
• Christasia Coleman, LPC

• Nurse's Aide in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Nurse's Aide in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.