Individual
NADIA SHANISE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5056 W 4TH ST # 100, HATTIESBURG, MS 39402-1069
(601) 446-2056
(949) 288-0396
Mailing address
8 SEQUATCHIE, HATTIESBURG, MS 39402-1269
(601) 410-7189
(949) 288-0396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904907
MS
Other
Enumeration date
09/21/2021
Last updated
05/21/2025
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