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

MS. Nicollette Shautria Clark

Individual provider Attendant Care Provider · NPI 1831746817

MS. Nicollette Shautria Clark is an Attendant Care Provider in Monticello, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
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Practice location Address checks out

940 Neal Pl
Monticello, MS 39654-7003
Phone: (601) 522-9025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X (MS)

Record details

NPI number1831746817
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2019
Last updated in NPPESAugust 23, 2019

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