Individual provider · Type 1 NPI
Thrishanna Clark, NP
Psychiatric/Mental Health Nurse Practitioner · Jackson, MS
NPI number
1356810360
Active
Practice location
3502 W Northside Dr
Jackson, MS 39213-4454
Mailing address
815 Clover Ridge Way
Brandon, MS 39047-4410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024177537 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 902942 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1356810360
Thrishanna Clark, NP's National Provider Identifier is 1356810360, issued on Nov 19, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jackson, MS. The record was last updated on Oct 2, 2025.