Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jerry Randall Stark, RN

Q: What is the NPI number for Jerry Stark?

The National Provider Identifier (NPI) for Jerry Stark is 1447507066, a Type 1 (individual) record in the CMS NPPES registry.

Emergency Registered Nurse in Southaven, MS · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447507066

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Registry record

Entity type Individual (Type 1)

Name Jerry Randall Stark

Credential RN

Sex Male

Practice address 848 Valley Springs Dr, Southaven, MS, 38671

Phone (901) 337-7778

Enumeration date Aug 14, 2012

Last updated in NPPES Aug 14, 2012

Taxonomy & licenses

163WE0003X Emergency Registered Nurse Nursing Service Providers · License R881245 (MS) Primary

RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jerry Stark?

The National Provider Identifier (NPI) for Jerry Stark is 1447507066, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jerry Stark practice?

The practice location on file with NPPES is in Southaven, MS. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-14.