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Jaimee Michelle Clark, FNP-BC

Nurse Practitioner, Family in Independence, MO. Individual provider (NPI-1).

NPI number1972230282
StatusActive
Last updated in NPPESOct 16, 2026

Details

NPI
1972230282
Entity type
Individual (NPI-1)
Name
Jaimee Michelle Clark
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 5, 2022
Certification date
Oct 16, 2026
Last updated
Oct 16, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2000148575MOYes
363LF0000X Nurse Practitioner, Family53-82323-111KS

Practice location

11605 E 23rd St S
Independence, MO 64050-4201

Phone 816-579-6891 · Fax 816-579-6892

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Phone 888-987-1151

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Independence, MO

All 93 Family Nurse Practitioner providers in Independence · All 2,440 providers in Independence

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