Katrina Clark, is a
Registered Nurse - Emergency based in Pass Christian, Mississippi. Katrina Clark is licensed to practice in Georgia (license number RN210557) and her current practice location is
25231 Cuevas Delisle Rd, Pass Christian, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(678) 516-5303.
NPI number for Katrina Clark is 1588251037 and her current mailing address is 25231 Cuevas Delisle Rd, Pass Christian, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588251037.
Provider's Profile
Full Name | Katrina Clark |
---|
Gender | Female |
---|
Speciality | Registered Nurse - Emergency |
---|
Location | 25231 Cuevas Delisle Rd, Pass Christian, Mississippi |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588251037
- Provider Enumeration Date: 12/30/2020
- Last Update Date: 12/30/2020
Medical Identifiers
Medical identifiers for Katrina Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588251037 | NPI | - | NPPES |
0 | Other | | N/A |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WE0003X | Registered Nurse - Emergency | RN210557 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katrina Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katrina Clark, 25231 Cuevas Delisle Rd, Pass Christian, MS 39571-9386 Ph: (678) 516-5303 | Katrina Clark, 25231 Cuevas Delisle Rd, Pass Christian, MS 39571-9386 Ph: (678) 516-5303 |
Reviews and Comments