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

Individual provider Prosthetist · NPI 1386106375

Nicole Clark, HAIRLOSSSPECIALIST is a Prosthetist in Long Beach, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

100 N Burke Ave
Long Beach, MS 39560-4605
Phone: (228) 234-1658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X

Record details

NPI number1386106375
Entity typeIndividual (Type 1)
GenderFemale
Credentials HAIRLOSSSPECIALIST
Sole proprietorYes
NPI enumeratedApril 1, 2019
Last updated in NPPESApril 1, 2019