Individual
MRS. MELINDA LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AOCNP, ACNP/FNP-BC
Contact information
Practice address
1205 HIGHWAY 182 W, STARKVILLE, MS 39759-9820
(662) 320-8545
(662) 320-8981
Mailing address
1205 HIGHWAY 182 W, STARKVILLE, MS 39759-9820
(662) 320-8545
(662) 320-8981
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R811185
MS
Other
Enumeration date
10/28/2011
Last updated
11/13/2015
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