Individual
MRS. LINDSEY LEA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
401 BAPTIST DR STE 104, MADISON, MS 39110-2010
(601) 605-2383
Mailing address
109 ST CHARLES DR, MADISON, MS 39110-9087
(601) 278-6568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R891443
MS
Other
Enumeration date
07/31/2015
Last updated
05/13/2021
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