Clark, Mieshia Staples
Clark, Mieshia Staples is an individual health care provider with primary practice located at 18766 John J Williams Hwy Ste 306 , Rehoboth Beach DE 19971-4417. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Clark, Mieshia Staples can be contacted via phone (302) 985-2520.Contact Information
Primary practice address
18766 John J Williams Hwy Ste 306
Rehoboth Beach DE 19971-4417
Phone: (302) 985-2520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN002575 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN209521 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | LG-0001366 | Delaware |
Profile Details
| NPI number | 1578941738 |
|---|---|
| LBN Legal business name | Clark, Mieshia Staples |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2015 |
| Last updated | Apr 8th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578941738 | NPPES |
| Nevada | MEDICAID | 1578941738 |
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