Physician Assistant, Medical
JACOB CLARK
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1013614304 · enumerated 2023-02-08 · record updated 2023-04-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4537 TUNDRA LN, MCFARLAND, WI, 53558-9158 (605) 521-8056 Google Maps Apple Maps OpenStreetMap
- Practice location 530 NE GLEN OAK AVE, PEORIA, IL, 61637-0001 (309) 655-2000 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary
Locations and evidence
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Practice location
PEORIA, IL, 616370001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.