Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NICOLLETTE SHAUTRIA CLARK
Active Sole ProprietorMS. NICOLLETTE SHAUTRIA CLARK is a Podiatric Surgery healthcare provider located in MONTICELLO, Mississippi. NPI 1831746817 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · MONTICELLO, MS
Registration Details
- NPI Number
- 1831746817
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2019 (6.952698061636 yrs)
- Last Updated
- Aug 23, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
940 NEAL PLMONTICELLO, MS, 396547003Browse MS providers · Browse ZIP 39654
- Phone
- 6015229025
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in MONTICELLO, MS
| Name | Credential | NPI |
|---|---|---|
| JAMIE NICOLE HARDISON | — | 1760084909 |
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.