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

Elizabeth Clark

Individual provider Certified Registered Nurse Anesthetist · NPI 1184710345

Elizabeth Clark is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Mississippi. Qualified in 1986, 40 years ago. Practices with Lifelinc Anesthesia PLLC, a 167-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
40
Licensed in
MS
In the registry since
2006
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Practice location Address checks out

2500 N State St Pfs
Jackson, MS 39216-4500
Phone: (601) 984-4619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R576255 (MS)

Record details

NPI number1184710345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESDecember 17, 2010
Mailing address2500 N State St, Pfs, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Lifelinc Anesthesia Pllc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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