Individual provider · Type 1 NPI

Theresa Carlisle Clark, REGISTERED NURSE

Registered Nurse · Phenix City, AL

NPI number 1003056383 Active

Practice location

1900 Carriage Dr
Phenix City, AL 36867-2116

Fax (888) 547-2536

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X166504 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1003056383

Theresa Carlisle Clark, REGISTERED NURSE's National Provider Identifier is 1003056383, issued on Feb 26, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Phenix City, AL. The record was last updated on Feb 26, 2009.