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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SHELLEY B CLARK, LPTA

Active Sole Proprietor

MS. SHELLEY B CLARK, LPTA is a Skilled Nursing Facility healthcare provider located in OCEAN SPRINGS, Mississippi. NPI 1689066367 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · OCEAN SPRINGS, MS

Registration Details

NPI Number
1689066367
Provider Type
Individual
Gender
Female
NPI Issued
Mar 4, 2015 (11.40657443847 yrs)
Last Updated
Mar 4, 2015
License
PTA4100 (MS)
Sole Proprietor
Yes

Practice Information

Address
6520 SUNSCOPE DR
OCEAN SPRINGS, MS, 395648690
Browse MS providers · Browse ZIP 39564
Phone
2288751177
Fax
2288724009
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Providers in OCEAN SPRINGS, MS

Name Credential NPI
JEANNIE CAILLOUET 1366835480
JENNA MORGAN 1932592094
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.