MS. Nicollette Shautria Clark is an attendant care provider technician in Monticello, MS. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. MS. Nicollette Shautria Clark NPI is 1831746817. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
940 NEAL PL
MONTICELLO, MS
ZIP 39654-003
Phone: (601) 522-9025
The enumeration date for this NPI number is 8/23/2019 and was last updated on 8/23/2019.