Allen, Elizabeth Clark

Allen, Elizabeth Clark is an individual health care provider with primary practice located at 728 Clinton Pkwy Ste B , Clinton MS 39056-5227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Elizabeth Clark can be contacted via phone (601) 200-4800.

Contact Information

Primary practice address
728 Clinton Pkwy Ste B Clinton MS 39056-5227
Phone: (601) 200-4800
Fax: (601) 200-4805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R871440 Mississippi

Profile Details

NPI number 1184946170
LBN Legal business name Allen, Elizabeth Clark
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2010
Last updated Sep 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184946170 NPPES
Mississippi Other P01198568 RAILROAD MEDICARE
Mississippi MEDICAID 08287001 RAILROAD MEDICARE

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