Individual provider · Type 1 NPI

Beverly W. Clark, FNP-C

Family Nurse Practitioner · Macon, MS

NPI number 1184387672 Active

Practice location

78 Hospital Rd
Macon, MS 39341-2490

Mailing address

4735 Highway 490 Rd
Macon, MS 39341-9366

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X904987 (MS)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1184387672

Beverly W. Clark, FNP-C's National Provider Identifier is 1184387672, issued on Oct 21, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Macon, MS. The record was last updated on Jan 20, 2022.