Stark, Jerry Randall

Stark, Jerry Randall is an individual health care provider with primary practice located at 848 Valley Springs Dr , Southaven MS 38671-4336. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Stark, Jerry Randall can be contacted via phone (901) 337-7778.

Contact Information

Primary practice address
848 Valley Springs Dr Southaven MS 38671-4336
Phone: (901) 337-7778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X R881245 Mississippi

Profile Details

NPI number 1447507066
LBN Legal business name Stark, Jerry Randall
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2012
Last updated Aug 14th, 2012 - about 14 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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