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

James M Clark, CFNP

Individual provider Family Nurse Practitioner · NPI 1639418486

James M Clark, CFNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2012, 14 years ago. Practices with Rapha Wellness and Primary Care, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
14
Licensed in
MS
In the registry since
2013
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6525
Fax: (601) 984-5151
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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 R854948 (MS)

Record details

NPI number1639418486
Entity typeIndividual (Type 1)
GenderMale
Credentials CFNP
Sole proprietorNo
NPI enumeratedFebruary 13, 2013
Last updated in NPPESJuly 30, 2018
Mailing addressPo Box 4402, Brandon, MS 39047-4402

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Rapha Wellness And Primary Care, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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