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

Brennan Naliyah Clark

Individual provider Occupational Therapy Assistant · NPI 1992678288

Brennan Naliyah Clark is an Occupational Therapy Assistant in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

13 Northtown Dr Ste 110
Jackson, MS 39211-3047
Phone: (601) 206-9195
Fax: (601) 957-8391
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA4092 (MS)

Record details

NPI number1992678288
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

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