Clarke, Marcy S
Clarke, Marcy S is an individual health care provider with primary practice located at 5 River Bend Place Suite C, Flowood MS 39232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Clarke, Marcy S can be contacted via phone (601) 957-7345.Contact Information
Primary practice address
5 River Bend Place Suite C
Flowood MS 39232
Phone: (601) 957-7345
Fax: (769) 251-5429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 209031022 | Illinois |
Profile Details
| NPI number | 1538196936 |
|---|---|
| LBN Legal business name | Clarke, Marcy S |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Apr 10th, 2025 - about last year |
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 | 1538196936 | NPPES |
| Mississippi | MEDICAID | 09953898 |
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