Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINY CLARK
Active Sole ProprietorDESTINY 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 3305RIDGELAND, MS, 391571247Browse 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.