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

Thrishanna Clark, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356810360

Thrishanna Clark, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Mississippi and Virginia.

Years since qualifying
8
Licensed in
MS, VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3502 W Northside Dr
Jackson, MS 39213-4454
Phone: (601) 362-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 902942 (MS)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0024177537 (VA)

Record details

NPI number1356810360
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 19, 2018
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address815 Clover Ridge Way, Brandon, MS 39047-4410

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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