Jerry Randall Stark, RN
Emergency Registered Nurse · Southaven, MS
Jerry Randall Stark, RN is an emergency registered nurse with a practice address in Southaven, Mississippi, and NPI 1447507066, issued on Aug 14, 2012. Check the license (Mississippi R881245, as entered in NPPES) with the Mississippi board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jerry Randall Stark
- Credential
- RN
- Primary taxonomy
- Emergency Registered Nurse 163WE0003X
- License number
- R881245 MS
Self-reported in NPPES; status is on the state search - Practice location
- 848 Valley Springs Dr, Southaven, MS 38671
- Phone
- (901) 337-7778
- Enumerated
- Aug 14, 2012
- Record last updated
- Aug 14, 2012 (not updated in 14 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Verify Jerry Randall Stark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license R881245Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Emergency Registered Nurse providers in Mississippi
There are 11 emergency registered nurse records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other emergency registered nurse records in Mississippi
- Logan Berard, RNSeminary, MS1295683191
- Alicia BrownBaldwyn, MS1407318736
- Katrina ClarkPass Christian, MS1588251037
- Rochelle GreenNatchez, MS1083563837
- Whitley Hill, ENOkolona, MS1639961691
- Olivia Knight, RNFlorence, MS1114721354
- Gisselle LadnierLucedale, MS1568388643
- Pamela Miller, RNPascagoula, MS1376296764
- Leighton Serio, RNCanton, MS1477203073
- Landon Wilson, RNCanton, MS1780546648
Common questions
What is Jerry Randall Stark, RN's NPI number?
Jerry Randall Stark, RN's National Provider Identifier (NPI) is 1447507066, issued on Aug 14, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Jerry Randall Stark, RN located?
The NPPES record lists a practice address at 848 Valley Springs Dr, Southaven, MS, 38671. Phone: (901) 337-7778. Providers update this record themselves, so call before visiting.
How can I verify Jerry Randall Stark, RN's license?
NPPES lists Mississippi license number R881245, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.