Individual
SAMANTHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1505 CLINTON BUSINESS PARK DR, CLINTON, MS 39056-4443
(601) 202-3965
(601) 510-9747
Mailing address
1505 CLINTON BUSINESS PARK DR, CLINTON, MS 39056-4443
(601) 202-3965
(601) 510-9747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874456
MS
Other
Enumeration date
02/24/2015
Last updated
12/18/2025
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