Individual
MRS. EMMA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
78 COUNTY ROAD 409, OXFORD, MS 38655-9226
(662) 444-3200
Mailing address
78 COUNTY ROAD 409, OXFORD, MS 38655-9226
(662) 444-3200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06231733
MS
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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