National Provider Identifier
Julia Mercy Clark, PA-C
Julia Mercy Clark, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Jamestown, NY and a listed phone number of (716) 483-6700.
Profile Overview
- NPI
- 1619549128
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 14, 2021
- Last Updated
- July 14, 2021
Practice Location
- 15 S Main St Ste 150
- Jamestown, NY 14701-6627
Phone: (716) 483-6700
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1619549128
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Julia
- Middle Name
- Mercy
- Name Prefix
- Mrs.
- Credential
- PA-C
- Mailing Street Address
- 15 S Main St Ste 150
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6627
- Mailing Country
- US
- Practice Street Address
- 15 S Main St Ste 150
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6627
- Practice Country
- US
- Practice Phone
- (716) 483-6700
- Enumeration Date
- July 14, 2021
- Last Updated
- July 14, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)