Derwin Clark

NPI 1508231085 · on the registry since 2015 · sole proprietor

Practice

Address: 1301 Ridgway Rd Ste 1c
Pine Bluff, AR 71603
Phone: (870) 395-7341
Fax: (870) 395-7377
Organisation at this address: Small Bites
Restaura Arkansas Llc
Women'S Comprehensive Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-16

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 Arkansas