Individual provider · Type 1 NPI

Dominique Clark, FNP-C

Family Nurse Practitioner · Cordova, TN

NPI number 1346874716 Active

Practice location

1540 Appling Care Ln
Cordova, TN 38016-4957

Call (901) 444-3950 Map

Mailing address

1540 Appling Care Ln Ste 105
Cordova, TN 38016-4947

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X174756 (TN)
Family Nurse Practitioner Primary 363LF0000X27344 (TN)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1346874716

Dominique Clark, FNP-C's National Provider Identifier is 1346874716, issued on Feb 25, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cordova, TN. The record was last updated on Nov 13, 2020.