Christopher Clark

Case Manager/Care Coordinator · Clinton, MS

Individual Active NPI

NPI number 1306415666

Practice location

604 Highway 80 W Ste R
Clinton, MS 39056-4108
Phone
(601) 473-2106

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NPI record

NPI
1306415666
Entity type
Individual (Type 1)
Enumeration date
June 22, 2021
Last updated
September 15, 2026
Certified
September 15, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — MS

Mailing address

500 Avalon Way Apt 715
Brandon, MS 39047-7486

About Christopher Clark

Christopher Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 604 Highway 80 W Ste R, Clinton, MS 39056-4108. The NPI number 1306415666 was assigned on June 22, 2021 and the record was last updated on September 15, 2026.

Frequently asked questions

What is the NPI number of Christopher Clark?

The NPI number is 1306415666.

What is the phone number of Christopher Clark?

The phone number listed for the practice location is (601) 473-2106.

Where is Christopher Clark located?

604 Highway 80 W Ste R, Clinton, MS 39056-4108.

What is the taxonomy code for Christopher Clark?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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