WOMANS CLINIC, A PROFESSIONAL ASSOCIATION
NPI 1043203136
Clinic/Center - Rural Health in Clarksdale, MS

Q: What is Womans Clinic, A Professional Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since August 24, 2005

2000 N STATE ST, CLARKSDALE, MS 38614(662) 627-7361(662) 627-1158 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2019, Dec 2, 2019 (2 updates tracked since 2019).

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About Womans Clinic, A Professional Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOMANS CLINIC, A PROFESSIONAL ASSOCIATION (NPI 1043203136) is a healthcare organization registered as a rural health in Clarksdale, Mississippi and active in the NPI registry since August 2005. The organization lists Kushna K Damallie, President, as its authorized official.

NPPES Registry Identity

NPI1043203136

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameWOMANS CLINIC, A PROFESSIONAL ASSOCIATION

Location Address2000 N STATE STClarksdale, MS 38614-6100

Mailing Address2000 N State StClarksdale, MS 38614-6100 · (662) 627-7361 · Fax (662) 627-1158

Phone(662) 627-7361

Fax(662) 627-1158

Organization SubpartNo

Authorized OfficialKushna K DamalliePresident · (662) 627-7361

Enumeration DateAugust 24, 2005

Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration

✔ NPI 1043203136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedSpecialistTaxonomy 174400000X

2000 N STATE ST, Clarksdale, MS 38614

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Other Identifiers 3

Other109754002MS · Ark Medicaid Group Number

Medicaid08321779MS

Other8P026MS · Ark Bcbs Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA VICTORIA WHITE POWELL MSN, FNP-C

Nurse Practitioner