Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Byron Kemp Clark

Organization Family Nurse Practitioner · NPI 1871392860

Byron Kemp Clark is a Family Nurse Practitioner in Hattiesburg, Mississippi. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5056 W 4th St # 100
Hattiesburg, MS 39402-1069
Phone: (601) 410-6525
Fax: (949) 288-0396
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1871392860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Byron Clark — Office Manager/ Clinic Owner · (601) 410-6525
Other names Magnolia Family Wellness Clinic
NPI enumeratedMarch 11, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address5056 W 4th St # 100, Hattiesburg, MS 39402-1069

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