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

DESTINY CLARK

Active Sole Proprietor

DESTINY CLARK is a Prosthetic/Orthotic Supplier healthcare provider located in RIDGELAND, Mississippi. NPI 1700578010 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · RIDGELAND, MS

Registration Details

NPI Number
1700578010
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2023 (3.2437414212097 yrs)
Last Updated
May 24, 2023
Sole Proprietor
Yes

Practice Information

Address
6811 OLD CANTON RD APT 3305
RIDGELAND, MS, 391571247
Browse MS providers · Browse ZIP 39157
Phone
7692317366
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X

Other Prosthetic/Orthotic Supplier Providers in RIDGELAND, MS

Name Credential NPI
TIERRA STEPHENS 1053984583
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.