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Search › Idaho › Psychiatric/Mental Health Nurse Practitioner

Jeremiah Clark, FNP-BC

NPI 1356123657 · on the registry since 2023

Practice

Address
1526 W Ustick Rd Ste 110
Meridian, ID 83646
Phone
(208) 370-5888
Fax
(206) 717-7104
Organisation at this address
Addi
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
363LF0000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho