Beverly W Clark, FNP-C
NPI #1184387672 in Macon, Mississippi
Provider Information
- NPI Number
- 1184387672
- Entity Type
- Individual
- Name
- Beverly W Clark, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Oct 21, 2021
- Last Updated
- Jan 20, 2022
Practice Location
- Address
- 78 HOSPITAL RD
- City
- Macon
- State
- Mississippi
- ZIP Code
- 39341-2490
- Phone
- (662) 361-8338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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