Individual provider · Type 1 NPI
James M. Clark, CFNP
Family Nurse Practitioner · Jackson, MS
NPI number
1639418486
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Fax (601) 984-5151
Mailing address
PO Box 4402
Brandon, MS 39047-4402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R854948 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639418486
James M. Clark, CFNP's National Provider Identifier is 1639418486, issued on Feb 13, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Jul 30, 2018.