Clark, Katrina

Clark, Katrina is an individual health care provider with primary practice located at 25231 Cuevas Delisle Rd , Pass Christian MS 39571-9386. She recently has only one registered license in Nursing Service Providers / Emergency, which is considered as her primary health care specialty. Clark, Katrina can be contacted via phone (678) 516-5303.

Contact Information

Primary practice address
25231 Cuevas Delisle Rd Pass Christian MS 39571-9386
Phone: (678) 516-5303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN210557 Georgia

Profile Details

NPI number 1588251037
LBN Legal business name Clark, Katrina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2020
Last updated Dec 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588251037 NPPES
Other 0 N/A

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