NNC Services LLC,

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NNC SERVICES LLC,

Practice address

100 N Burke Ave
Long Beach, MS 39560-4605

Phone

(228) 234-1658

Fax

(228) 234-1658

NPI assigned

Jan 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nicole Clark, CRANIAL PROTHESISNPI 1386106375

Title

Owner/Stylist

Phone

(228) 234-1658

Specialties & licenses 1

Addresses

Other names 1

• All About Hair Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Clark, HAIR LOSS SPECIALIST

  • Prosthetist
  • Long Beach, MS
  • NPI 1386106375
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1134835804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BURKE AVE",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604605",
            "telephone_number": "228-234-1658",
            "fax_number": "228-234-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BURKE AVE",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604605",
            "telephone_number": "228-234-1658",
            "fax_number": "228-234-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNC SERVICES LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/STYLIST",
        "authorized_official_telephone_number": "228-234-1658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRANIAL  PROTHESIS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Hair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Lee Miller, DC
• Trenita Lashawn Moore, CFNP
• Hailey Grace Morgan, LMSW
• Steven Harry Myers, MSPT
• Jeffrey Michael Niolet, D.M.D.
• Ochsner Mississippi, LLC
• Judith Olson, MSN, APRN, PMHNP-BC
• Peaceful Mind Counseling
• Tammy Lorine Pepin, LPC, NCC
• Madison Mauffray Perniciaro, MSCCCSLP

• Prosthetic/Orthotic Supplier in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.