IndividualActive
Nicollette Clark
NPI 1831746817 · Attendant Care Provider · Monticello, MS
Provider details
- NPI number
- 1831746817
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
940 Neal Pl
Monticello, MS 39654-7003
Phone: (601) 522-9025
Approximate (ZIP-level) locationGet directions
Mailing address
940 Neal Pl
Monticello, MS 39654-7003
Registry dates
- Enumerated
- 2019-08-23
- Last updated
- 2019-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.