Nadia Shanise Clark
FNP-C | Nurse Practitioner - Family | 4+ years Exp
5056 W 4th St # 100, Hattiesburg
Mississippi, 39402-1069
601-446-2056
Nadia Shanise Clark is a Hattiesburg, Mississippi based nurse practitioner with 4 years of experience in Family. She completed her graduation in 2021. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nadia Shanise Clark is 904907 for Family in Mississippi. Her current practice location is 5056 W 4th St # 100, Hattiesburg. Patients can reach her at 601-446-2056 or can fax her at 949-288-0396. Nadia Shanise Clark is FNP-C with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1689345506.
Nadia Shanise Clark delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Nadia Shanise Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nadia Shanise Clark |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | FNP-C |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5056 W 4th St # 100, Hattiesburg,
Mississippi, 39402-1069 |
| Phone: | 601-446-2056 |
| Fax: | 949-288-0396 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3870987787 |
| Enrollment ID: | I20220218000291 |
| NPI Number: | 1689345506 |
| NPI Enumeration Date: | 21 Sep, 2021 |
| NPI Last Update On: | 21 May, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nadia Shanise Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 904907 | Family | Mississippi | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (251326) | Prentiss, MS | Critical Access Hospital |
| (250040) | Pascagoula, MS | Acute Care Hospital |
| (250085) | Columbia, MS | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Nadia Shanise Clark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Pioneer Health Care , Llc (4789740044) | 13 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nadia Shanise Clark
8 Sequatchie,
Hattiesburg, Mississippi |
| Zip: | 39402-1269 |
| Phone Number: | 601-410-7189 |
| Fax Number: | 949-288-0396 |
Patients can reach Nadia Shanise Clark at
5056 W 4th St # 100, Hattiesburg, Mississippi or can
call to book an appointment on 601-446-2056.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.