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Active NPI 1386106375 Individual Practitioner Female Practitioner

Nicole Clark , HAIR LOSS SPECIALIST

Prosthetist • Long Beach, MS

Professional Overview & Biography Verified Profile Summary

Nicole Clark, HAIR LOSS SPECIALIST is a registered healthcare professional specializing in Prosthetist in Long Beach, MS. Practice services are available at 100 N BURKE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 N Burke Ave

Long Beach, MS 395604605

Telephone 2282341658
Associated Practice Facility / Clinic
🏢 Nnc Services Llc, Facility NPI 1134835804

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Long Beach, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Long Beach, MS (24 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active April 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2019

Registered at 100 N BURKE AVE, LONG BEACH, MS 395604605 (Tel: 2282341658)

📍
Updated Business Mailing Address April 01, 2019

Registered at 100 N BURKE AVE, LONG BEACH, MS 395604605 (Tel: 2282341658)

👤
Provider Name / Credentials Updated April 01, 2019

Recorded as NICOLE CLARK, HAIR LOSS SPECIALIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2019

Prosthetist

🟢
Initial NPI Registration & Enumeration April 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386106375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2019
Last Update: April 01, 2019
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

100 N Burke Ave

Long Beach, MS 395604605

Phone: 2282341658

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.