| Jennifer Shae Clark, NP | |
|
215 Westside Dr Ste 200, Decatur, TX 76234-3869 | |
| (940) 273-5700 | |
| Not Available |
| Full Name | Jennifer Shae Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 215 Westside Dr Ste 200, Decatur, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295319374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1010436 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitality Medical Pllc | 5496122616 | 3 |
| Entity Name | Vitality Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588389779 PECOS PAC ID: 5496122616 Enrollment ID: O20221101001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Shae Clark, NP 215 Westside Dr Ste 200, Decatur, TX 76234-3869 Ph: (940) 273-5700 | Jennifer Shae Clark, NP 215 Westside Dr Ste 200, Decatur, TX 76234-3869 Ph: (940) 273-5700 |
Olivia Hillard, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2014 Ben Merritt Dr Ste A, Decatur, TX 76234 Phone: 940-627-2409 |
Heather Nicole Stark, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2451 S. Fm, Suite 300, Decatur, TX 76234 Phone: 940-626-8008 |
Anju Banjade Kharel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1816 S Fm 51 Ste 1200, Decatur, TX 76234 Phone: 940-626-0052 Fax: 940-626-0122 |
Dr. Erin Price, DNP, APRN, AGPCNP, N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1451 W Business 380, Decatur, TX 76234 Phone: 940-977-3319 |
Heatherene Hughes Carlisle, MSN, CRNP, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 902 Preskitt Rd Ste 600, Decatur, TX 76234 Phone: 940-626-8073 |
Charles Edward Bell, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 Medical Center Dr, Decatur, TX 76234 Phone: 940-626-2430 Fax: 940-626-2431 |
Melissa Franklin, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S Fm 51, Decatur, TX 76234 Phone: 940-627-8044 Fax: 940-627-8055 |