Individual provider · Type 1 NPI

Miranda Clark, FNP

Family Nurse Practitioner · Millington, TN

NPI number 1407528722 Active

Practice location

4772 Navy Rd Ste A
Millington, TN 38053-1927

Fax (901) 873-0931

Mailing address

3243 Cypress Rd
Memphis, TN 38128-6103

Other practice locations

  • 135 Carmen Ln, Santa Maria, CA 93458-7729 · (805) 332-4568

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X29697 (TN)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1407528722

Miranda Clark, FNP's National Provider Identifier is 1407528722, issued on Oct 5, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Millington, TN. The record was last updated on Jul 20, 2023.