Dr STEPHANIE NICOLE CLARK is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2016.
ANESTHESIA CONSULTANTS PA
2100 HWY 61 N
VICKSBURG
MS
391838211
Tel: 6018835000
| Npi | 1215486444 |
| Pac Id | 3779862933 |
| Professional Enrollment Id | I20171024002602 |
| Last Name | CLARK |
| First Name | STEPHANIE |
| Middle Name | NICOLE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | ANESTHESIA CONSULTANTS PA |
| Group Practice Pac Id | 4486637881 |
| Number Of Group Practice Members | 42 |
| Line 1 Street Address | 2100 HWY 61 N |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VICKSBURG |
| State | MS |
| Zip Code | 391838211 |
| Phone Number | 6018835000 |
| Hospital Affiliation Ccn 1 | 250031 |
| Hospital Affiliation Lbn 1 | MERIT HEALTH RIVER REGION |
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| Professional Accepts Medicare Assignment | Y |
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