Jerry Randall Stark, RN
Jerry Randall Stark, RN is an Emergency Registered Nurse in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.
- Licensed in
- MS
- In the registry since
- 2012
What do these letters mean?
- RN — Registered Nurse
- A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
Practice location Address checks out
848 Valley Springs DrSouthaven, MS 38671-4336
Phone: (901) 337-7778
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Registered Nurse (primary) | Taxonomy 163WE0003X · Licence R881245 (MS) |
|---|
Record details
| NPI number | 1447507066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RN |
| Sole proprietor | No |
| NPI enumerated | August 14, 2012 |
| Last updated in NPPES | August 14, 2012 |
| Mailing address | 848 Valley Springs Dr, Southaven, MS 38671-4336 |