Individual provider · Type 1 NPI

Nadia Shanise Clark, FNP-C

Family Nurse Practitioner · Hattiesburg, MS

NPI number 1689345506 Active

Practice location

5056 W 4th St # 100
Hattiesburg, MS 39402-1069

Call (601) 446-2056 Map

Fax (949) 288-0396

Mailing address

8 Sequatchie
Hattiesburg, MS 39402-1269

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X904907 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1689345506

Nadia Shanise Clark, FNP-C's National Provider Identifier is 1689345506, issued on Sep 21, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on May 21, 2025.