Clark, Nicollette Shautria

Clark, Nicollette Shautria is an sole proprietor health care provider with primary practice located at 940 Neal Pl , Monticello MS 39654-7003. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Clark, Nicollette Shautria can be contacted via phone (601) 522-9025.

Contact Information

Primary practice address
940 Neal Pl Monticello MS 39654-7003
Phone: (601) 522-9025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X Mississippi

Profile Details

NPI number 1831746817
LBN Legal business name Clark, Nicollette Shautria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2019
Last updated Aug 23rd, 2019 - about 7 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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