MRS. MELINDA LEE CLARK (NPI# 1285910653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285910653 |
Entity Type | Individual |
Full Name | MRS. MELINDA LEE CLARK |
Credential | AOCNP, ACNP/FNP-BC |
Practice Address |
1205 Highway 182 W Starkville MS 39759-9820 |
Practice Telephone | 6623208545 |
Practice Fax Number | 6623208981 |
Mailing Telephone | 6623208545 |
Mailing Fax Number | 6623208981 |
Enumeration Date | 2011-10-28 |
Last Update Date | 2015-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R811185 | MS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902141062 | Melinda Lee Clark | Massage Therapist | 272 W 11th Ave, Eugene, OR 97401-3031 | 2012-11-30 |
1437610151 | Melinda Clark | Counselor | 2807 Evangeline St, Monroe, LA 71201-3749 | 2019-03-26 |
1467919381 | Melinda Tapia Clark | Occupational Therapy Assistant | 501 Esseola Drive, Saluda, NC 28773 | 2019-02-27 |
1184119232 | Melinda L Clark | Speech-Language Pathologist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2018-06-29 |
1386169027 | Melinda Anne Clark | Marriage & Family Therapist | 2030 Hartnell Ave Ste D, Redding, CA 96002-5070 | 2017-08-03 |
1477906444 | Melinda Clark | Registered Nurse | 2155 Route 22b, Morrisonville, NY 12962-3417 | 2016-07-14 |
1578978557 | Melinda A Clark | Nurse Practitioner | 350 W Columbia St, Ste 350, Evansville, IN 47710-5610 | 2014-06-27 |
1174750038 | Melinda Voguit Clark | Occupational Therapist | 4829 Innisbrook Ct S, Elkton, FL 32033-2067 | 2009-06-18 |
1679759146 | Melinda Pace Clark | Counselor | 70 Freedom Drive, Scottsboro, AL 35769-3763 | 2008-01-15 |
1598953838 | Melinda Lee Clark | Nurse Practitioner | 25 W 1st St, Campbellsburg, IN 47108-9146 | 2007-10-11 |
Street Address |
1205 HIGHWAY 182 W |
City | STARKVILLE |
State | MS |
Zip Code | 39759-9820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184112013 | Clay County Medical Corporation | Internal Medicine | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2018-04-26 |
1730615956 | North Mississippi Medical Center Inc. | Ophthalmology | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2017-05-08 |
1639602014 | North Mississippi Medical Center, Inc. | Neurological Surgery | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2017-04-04 |
1366983934 | North Mississippi Medical Center Inc. | Internal Medicine | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2017-03-16 |
1053797621 | North Mississippi Medical Center, Inc. | Internal Medicine | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2015-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
Find all providers in zip 39759 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891855623 | Gwendolyn K. Herndon | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
Find all providers with the same taxonomy |
City | STARKVILLE |
Zip Code | 39759 |
Please comment or provide details below to improve the information on MRS. MELINDA LEE CLARK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.