MS. NICOLLETTE SHAUTRIA CLARK
NPI 1831746817
Technician - Attendant Care Provider in Monticello, MS

Q: What is Nicollette Clark's NPI number?

The NPI number for Nicollette Clark is 1831746817. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Q: What is Nicollette Clark's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Nicollette Clark was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 23, 2019

940 NEAL PL, MONTICELLO, MS 39654(601) 522-9025 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Nicollette Shautria Clark NPPES

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

MS. NICOLLETTE SHAUTRIA CLARK (NPI 1831746817) is an individual attendant care provider provider in Monticello, Mississippi and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1831746817

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameMS. NICOLLETTE SHAUTRIA CLARK

Location Address940 NEAL PLMonticello, MS 39654-7003

Mailing Address940 Neal PlMonticello, MS 39654-7003 · (601) 522-9025

Phone(601) 522-9025

Sole ProprietorYes

Enumeration DateAugust 23, 2019

✔ NPI 1831746817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

940 NEAL PL, Monticello, MS 39654

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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 Nicollette Clark's NPI number?

The NPI number for Nicollette Clark is 1831746817. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Where is Nicollette Clark located?

Nicollette Clark practices at 940 Neal Pl, Monticello, MS 39654. The listed phone number is (601) 522-9025.

What is Nicollette Clark's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Nicollette Clark was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.