1. Home
  2. Directory
  3. Mississippi
  4. Long Beach
  5. Prosthetist
  6. NPI Profile

NICOLE CLARK HAIR LOSS SPECIALIST
NPI 1386106375
Prosthetist in Long Beach, MS

Active since April 01, 2019
100 N BURKE AVE, LONG BEACH, MS 39560(228) 234-1658 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Clark Hair Loss Specialist NPPES

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

NICOLE CLARK HAIR LOSS SPECIALIST (NPI 1386106375) is an individual prosthetist provider in Long Beach, Mississippi and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1386106375
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameNICOLE CLARKCredential: HAIR LOSS SPECIALIST
Location Address100 N BURKE AVELong Beach, MS 39560-4605
Mailing Address100 N Burke AveLong Beach, MS 39560-4605 · (228) 234-1658
Phone(228) 234-1658
Sole ProprietorYes
Enumeration DateApril 1, 2019
✔ NPI 1386106375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
100 N BURKE AVE, Long Beach, MS 39560
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

NNC SERVICES LLC,
Prosthetic/Orthotic Supplier
100 N BURKE AVE
LONG BEACH, MS 39560
Harrison County (228) 234-1658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1386106375. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Nicole Clark located?

Nicole Clark practices at 100 N Burke Ave, Long Beach, MS 39560. The listed phone number is (228) 234-1658.

What is Nicole Clark's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.