Active NPI
Jonathan Clark
- Registered Nurse
- Salisbury, MO
National Provider Identifier
1720902976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2012018261
- Practice address
- 203 W 8TH St
Salisbury, MO 65281-1114 - Phone
- (660) 728-0316
- NPI assigned
- Aug 8, 2026
- Last updated
- Aug 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2012018261 | MO | Primary |
Addresses
Primary practice location
203 W 8TH St
Salisbury, MO 65281-1114
Mailing address
203 W 8TH St
Salisbury, MO 65281-1114
Phone (660) 728-0316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1720902976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 W 8TH ST",
"city": "SALISBURY",
"state": "MO",
"postal_code": "652811114",
"telephone_number": "660-728-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W 8TH ST",
"city": "SALISBURY",
"state": "MO",
"postal_code": "652811114",
"telephone_number": "660-728-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-08",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2012018261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MO
- Chariton County Ambulance District
- Chariton Health Systems Inc (Community Medical Equipment)
- Chariton Park Health Care Center, LLC
- Chariton Park Health Center, LLC
- Chariton Park SNF Opco LLC (Chariton Park Health Care Center)
- Paige Gibler Clark
- Sandra J Clarkson, RNBC FNP
- Compass Health, Inc (Family Dental Center at Salisbury)
- Compass Health, Inc. (Family Health Center at Salisbury)
- Brandon Cooper, PLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.