Clark, Karmen Renee

Clark, Karmen Renee is an individual health care provider with primary practice located at 3631 Bienville Blvd Suite A, Ocean Springs MS 39564-5702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Karmen Renee can be contacted via phone (228) 818-9620.

Contact Information

Primary practice address
3631 Bienville Blvd Suite A Ocean Springs MS 39564-5702
Phone: (228) 818-9620
Fax: (228) 818-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA075 Mississippi

Profile Details

NPI number 1619035029
LBN Legal business name Clark, Karmen Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated May 2nd, 2022 - about 4 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 1619035029 NPPES
Mississippi MEDICAID 00357210

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