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NPI Code Detail

MEDICARE: KARLEY CLARK APRN, MSN, FNP-C

MEDICARE:   KARLEY  CLARK  APRN, MSN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner908068MS

General Provider Information

NPI Number : 1861340226
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLEY CLARK APRN, MSN, FNP-C
Provider Business Mailing Address
First Line : 11700 HIGHWAY 57
Second Line :
City : VANCLEAVE
State : MS
Zip : 39565-8309
Country : US
Telephone Number : 228-826-1482
Fax Number :
Provider Business Practice Location Address
First Line : 11700 HIGHWAY 57
Second Line :
City : VANCLEAVE
State : MS
Zip : 39565-8309
Country : US
Telephone Number : 228-826-1482
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ KARLEY CLARK APRN, MSN, FNP-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.