| Sarabeth Lee Clark, NP | |
|
2173 Main St, Madison, MS 39110-6309 | |
| (601) 605-3858 | |
| (601) 605-3898 |
| Full Name | Sarabeth Lee Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2173 Main St, Madison, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720863665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 865829 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 906228 (Mississippi) | Primary |
| Entity Name | Medical Foundation Of Central Mississippi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarabeth Lee Clark, NP 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: (877) 348-1281 | Sarabeth Lee Clark, NP 2173 Main St, Madison, MS 39110-6309 Ph: (601) 605-3858 |
Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 129 Fountains Blvd Ste 201, Madison, MS 39110 Phone: 769-300-0730 | |
Mallory Elizabeth Boggs, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-859-8200 | |
Mary Hamilton Harkins, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1082 Gluckstadt Rd, Madison, MS 39110 Phone: 601-707-5621 | |
Mrs. Sydney Mccary Ponder, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Baptist Dr Ste 301, Madison, MS 39110 Phone: 601-973-1571 Fax: 601-973-1577 | |
Ms. Larona Rachelle Searcy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Woodland Dr, Madison, MS 39110 Phone: 601-503-0335 | |
Allison Ayers Cochran, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Lexington Dr Ste 100, Madison, MS 39110 Phone: 601-973-1688 Fax: 601-973-1690 | |
Heather Hontzas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste A, Madison, MS 39110 Phone: 769-231-1400 |