Search › Mississippi › 163WE0003X
Jerry Stark, RN
NPI 1447507066 · on the registry since 2012
Practice
- Address
- 848 Valley Springs Dr
Southaven, MS 38671 - Phone
- (901) 337-7778
Registry record
- Primary taxonomy
- 163WE0003X
163WE0003X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi