Individual
JACOB NICHOLAS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1140 E MICHIGAN AVE STE 400, LANSING, MI 48912-1806
(517) 364-9650
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011462
MI
363A00000X
Physician Assistant
Primary
5601011462APP22
MI
Other
Enumeration date
10/31/2022
Last updated
03/25/2026
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