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

Beverly W Clark, FNP-C

Individual provider Family Nurse Practitioner · NPI 1184387672

Beverly W Clark, FNP-C is a Nurse Practitioner in Macon, Mississippi. Qualified in 2021, 5 years ago. Practices with Noxubee General Critical Access Hospital, a 16-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

78 Hospital Rd
Macon, MS 39341-2490
Phone: (662) 361-8338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904987 (MS)

Record details

NPI number1184387672
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedOctober 21, 2021
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Noxubee General Critical Access Hospital — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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