| Jerry Randall Stark, RN | |
|
848 Valley Springs Dr, Southaven, MS 38671-4336 | |
| (901) 337-7778 | |
| Not Available |
| Full Name | Jerry Randall Stark |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Emergency |
| Location | 848 Valley Springs Dr, Southaven, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447507066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | R881245 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Randall Stark, RN 848 Valley Springs Dr, Southaven, MS 38671-4336 Ph: (901) 337-7778 | Jerry Randall Stark, RN 848 Valley Springs Dr, Southaven, MS 38671-4336 Ph: (901) 337-7778 |
Mary Alice Hall, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 9140 Highway 51 N # South, Southaven, MS 38671 Phone: 662-280-8222 Fax: 662-280-5541 | |
Laquitta Hughes, FNP-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5375 Savannah Pkwy, Southaven, MS 38672 Phone: 601-941-2410 | |
Tiffany Jackson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5875 Landau Dr, Southaven, MS 38671 Phone: 870-821-1234 | |
Stevie Lamar Dunn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3146 Central Pkwy, Southaven, MS 38672 Phone: 662-212-3555 | |
Mr. Henon Lee Mcdonald Jr., RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3316 Devonshire Cv N, Southaven, MS 38672 Phone: 901-292-3047 | |
Tamara Pittman-johnson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1019 Worthington Dr, Southaven, MS 38671 Phone: 901-494-5175 | |
Mrs. Whitney Barrier Brock, NP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 401 Southcrest Cir Ste 212, Southaven, MS 38671 Phone: 662-245-5270 |