What is Jacqueline Clark's NPI number?

Jacqueline Clark's National Provider Identifier (NPI) is 1790617553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacqueline Clark's specialty?

Jacqueline Clark is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).

Where is Jacqueline Clark located?

Jacqueline Clark's practice location on file with NPPES is 325 4th Ave, South Charleston, WV 25303-1266.

What is Jacqueline Clark's phone number?

The practice phone number listed in the NPPES registry for Jacqueline Clark is (304) 744-5085.

Is Jacqueline Clark's NPI active?

Yes — Jacqueline Clark's NPI (1790617553) is active in the NPPES registry as of the last update on 2026-06-03.

IndividualActive

Jacqueline Clark

NPI 1790617553 · Personal Care Attendant · South Charleston, WV

Jacqueline Clark is a Personal Care Attendant provider in South Charleston, WV (NPI 1790617553).

Provider details

NPI number: 1790617553
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% 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

325 4th Ave

South Charleston, WV 25303-1266

Phone: (304) 744-5085

Fax: (304) 744-5085

Street-level locationGet directions

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Mailing address