Individual
MARCY S CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
5 RIVER BEND PLACE, SUITE C, FLOWOOD, MS 39232
(601) 957-7345
(769) 251-5429
Mailing address
P O BOX 320039, FLOWOOD, MS 39232
(601) 957-7345
(769) 251-5924
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
209031022
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09953898
—
MS
Enumeration date
06/28/2006
Last updated
04/10/2025
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