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

Lisa Clark

Individual provider Family Nurse Practitioner · NPI 1114317054

Lisa Clark is a Nurse Practitioner in New Albany, Mississippi. Qualified in 2014, 12 years ago. Practices with Oxford Urology Associates PLLC, a 17-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

400 Doctors Dr
New Albany, MS 38652-3109
Phone: (662) 534-5036
Fax: (662) 534-9696
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

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R874900 (MS)

Record details

NPI number1114317054
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 30, 2015
Mailing address400 Doctors Dr, New Albany, MS 38652-3109

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Oxford Urology Associates Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Albany