Nicole Clark
Prosthetist
100 N Burke Ave
Long Beach
, Mississippi 39560-4605
Nicole Clark
Prosthetist
100 N Burke Ave
Long Beach
, Mississippi 39560-4605
(228) 234-1658
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Nicole Clark
- 100 N Burke Ave
- Long Beach, MS
- Zip : 39560-4605
- Phone : (228) 234-1658
Second Address
- Nicole Clark
- 100 N Burke Ave
- Long Beach, MS
- Zip : 39560-4605
- Phone : (228) 234-1658
Reviews
FAQs
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What type of doctor is Nicole Clark
In what state does Nicole Clark practice in?
Where is Nicole Clark ’s practice located?
What is Nicole Clark ’s gender?
Is Nicole Clark a sole practitioner?
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Does Nicole Clark offers telemedicine?
What is Nicole Clark ’s professional license number?
What is Nicole Clark ’s NPI number?
Does Nicole Clark have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1386106375 |
|---|---|
| Provider Name | Nicole Clark |
| First Address | Long Beach, MS 39560-4605 |
| Second Address | Long Beach, MS 39560-4605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.