Individual provider · Type 1 NPI

Jodi L. Clark

Attendant Care Provider · Tennessee Ridge, TN

NPI number 1043348634 Active

Practice location

1330 N Main St
Tennessee Ridge, TN 37178-4003

Call (931) 721-3312 Map

Mailing address

90 Metcalf Dr
Erin, TN 37061-5010

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: 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.

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About NPI 1043348634

Jodi L. Clark's National Provider Identifier is 1043348634, issued on Mar 2, 2007. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Tennessee Ridge, TN. The record was last updated on Jul 8, 2007.