Jerry Randall Stark RN

  • NPI 1447507066
According to our database, the NPI number for Jerry Randall Stark RN is 1447507066 and activated since 11 years ago. Jerry Randall Stark RN is an individual provider who specializes in Emergency, and the primary practice location is 848 Valley Springs Dr, Southaven, MS 38671. You can also contact Jerry Randall Stark RN via telephone number is (901) 337-7778. Provider NPI information was last updated on 08/14/2012.

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Overview of Jerry Randall Stark RN

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/14/2012
  • Last updated: 08/14/2012

Primary Scrop of Practice

  • Taxonomy Code: 163WE0003X
  • Specialty: Emergency
  • License Number: R881245
  • License State: MS

Provider Mailing Address

  • Address: 848 Valley Springs Dr
    Southaven, MS 38671
  • Phone: 901-337-7778
  • Fax:

Provider Practice Location

  • Address: 848 Valley Springs Dr
    Southaven, MS 38671
  • Phone: 901-337-7778
  • Fax:

Scope of Practice

  • Taxonomy Code: 163WE0003X
  • Specialty: Emergency
  • License Number: R881245
  • License State: MS
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerry Randall Stark RN?
  • A: The npi number for Jerry Randall Stark RN is 1447507066.
  • Q: What are Jerry Randall Stark RN's specialties?
  • A: Jerry Randall Stark RN's specialties are Emergency and different specialities.
  • Q: What is the medical license for Jerry Randall Stark RN?
  • A: The medical license number for Jerry Randall Stark RN is R881245 and issued in MS in USA.
  • Q: Where is Jerry Randall Stark RN practice location?
  • A: Jerry Randall Stark RN is practicing at 848 Valley Springs Dr, Southaven, MS 38671.
  • Q: How to contact Jerry Randall Stark RN?
  • A: You can contact Jerry Randall Stark RN via 901-337-7778.
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