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

Courtney A Clark, DO

Individual provider Pediatrics Physician · NPI 1790100113

Courtney A Clark, DO is a Pediatrics Physician in Picayune, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi and Virginia.

Licensed in
MS, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2274 Highway 43 S
Picayune, MS 39466-8141
Phone: (601) 347-9024
Fax: (601) 798-5914
Show map & directions

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

Additional practice locations (1)

  • 554 Keily Street, Jacksonville, FL 32212 — (757) 953-7550

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 29407 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence 1790100113 (VA)

Record details

NPI number1790100113
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 21, 2014
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021
Mailing address1514 Jefferson Hwy, New Orleans, LA 70121-2429

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