RONALD BRANDON CLARK (NPI# 1467723668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467723668 |
| Entity Type | Individual |
| Full Name | RONALD BRANDON CLARK |
| Credential | FNP |
| Practice Address |
215 Marion Ave Mccomb MS 39648-2705 |
| Mailing Address |
29851 J Wilson Rd Albany LA 70711 |
| Practice Telephone | 8008939698 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2014-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R851752 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992090484 | Ronald Havis Clark | Pharmacist | 4405 Winterberry Ln, San Angelo, TX 76904-4530 | 2011-06-13 |
| 1003936824 | Ronald Earl Clark | Counselor | 3846 E Dartmouth St, Mesa, AZ 85205-6104 | 2007-03-29 |
| 1639210495 | Ronald E Clark | Dentist | 109 Kings Hwy W, Haddonfield, NJ 08033-2127 | 2007-02-12 |
| 1588762801 | Ronald Frederick Clark | Chiropractor | 5 Newington Road, West Hartford, CT 06110-2310 | 2006-09-20 |
| 1780088815 | Ronald Joseph Clark | Behavioral Analyst | 444 S 44th St, Omaha, NE 68131-3727 | 2014-10-17 |
| 1336317114 | Ronald H Clark | Chiropractor | 4917 Poplar Springs Drive, Meridian, MS 39305 | 2008-02-14 |
| 1508908427 | Ronald Austin Clark | Social Worker | 215 Loudoun St Se, Leesburg, VA 20175-3115 | 2007-02-14 |
| 1356400105 | Ronald Craig Clark | Chiropractor | 200 Industrial Blvd, Suite 108, Ellijay, GA 30540-3722 | 2006-12-07 |
| 1477631919 | Ronald A Clark | Surgery | 909 Hyde St, Suite 325, San Francisco, CA 94109-4822 | 2006-11-01 |
| 1972613255 | Ronald Lee Clark | Social Worker | 106 W Utica St, Oswego, NY 13126-3330 | 2006-08-30 |
| Street Address |
215 MARION AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699759704 | Ronald Jack Morgan | Family Medicine | 215 Marion Ave, Mccomb, MS 39648 | 2005-12-01 |
| 1831799022 | Carrie Lee Fernald | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2020-10-28 |
| 1366082778 | Malinda F Donald | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2020-01-14 |
| 1477195972 | Relias Emergency Medicine Specialists of Mccomb, LLC | Emergency Medicine | 215 Marion Ave, Mccomb, MS 39648-2705 | 2019-10-16 |
| 1962968040 | John Mark Irby | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2019-02-14 |
| 1326524869 | Jarrod P Fontenelle | Nurse Anesthetist, Certified Registered | 215 Marion Ave, Mccomb, MS 39648-2705 | 2018-07-18 |
| 1326556424 | Will G. Stevens | Nurse Anesthetist, Certified Registered | 215 Marion Ave, Mccomb, MS 39648-2705 | 2018-01-11 |
| 1871013615 | Southwest Mississippi Regional Medical Center | Obstetrics & Gynecology | 215 Marion Ave, Mccomb, MS 39648-2705 | 2017-06-22 |
| 1225578396 | Megan Jackson Jarancik | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2017-03-08 |
| 1720530298 | Proxsys Rx - Rush LLC | Pharmacy | 215 Marion Ave, Suite 200, Mccomb, MS 39648-2705 | 2016-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043769722 | Marathon Health, Inc | Nurse Practitioner | 428 Cooper St, C/o Hearthside Health Center, Mccomb, OH 45858 | 2016-09-23 |
| 1649753039 | Misti Hedgepeth | Nurse Practitioner | 303 Marion Ave, Mccomb, MS 39648-2707 | 2018-09-11 |
| 1114407137 | Robin Bass Spring | Nurse Practitioner | 220 Scott Dr, Mccomb, MS 39648-3622 | 2018-08-20 |
| 1922559772 | Bruce Eric Hill | Nurse Practitioner | 1506 Harrison Ave, Mccomb, MS 39648-2716 | 2016-10-17 |
| 1164815007 | Ellanie L Bessonette | Nurse Practitioner | 303 Marion Ave, Mccomb, MS 39648-2707 | 2015-03-17 |
| 1073920716 | William Jason Bass | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2014-07-15 |
| 1538582531 | Marcella Roberts | Nurse Practitioner | 300 Rawls Dr, Ste 600, Mccomb, MS 39648-2877 | 2014-01-27 |
| 1184971046 | Rhonda Joyce Thomas | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2012-08-10 |
| 1689813339 | Mississippi Em I Medical Services, P.C. | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2009-02-19 |
| 1790905941 | Irene Martin | Nurse Practitioner | 120 5th Avenue, Mccomb, MS 39648 | 2007-04-30 |
| Find all providers in MCCOMB | ||||
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| 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.