Demetria Clark, PA
NPI 1104399849 · Physician Assistant · Jacksonville, FL
Demetria Clark, PA is a Physician Assistant provider in Jacksonville, FL (NPI 1104399849).
Provider details
- NPI number
- 1104399849
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 12918 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-01-04
- Last updated
- 2023-12-21
- Certified
- 2023-12-21
Frequently asked questions
- What is Demetria Clark's NPI number?
- Demetria Clark's National Provider Identifier (NPI) is 1104399849, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Demetria Clark's specialty?
- Demetria Clark is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Demetria Clark located?
- Demetria Clark's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865.
- What is Demetria Clark's phone number?
- The practice phone number listed in the NPPES registry for Demetria Clark is (904) 953-2000.
- Is Demetria Clark's NPI active?
- Yes — Demetria Clark's NPI (1104399849) is active in the NPPES registry as of the last update on 2023-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.