Individual provider · Type 1 NPI
Tenicia Clark, APN, FNP-C
Family Nurse Practitioner · Greeneville, TN
NPI number
1477916906
Active
Practice location
750 Edens Rd
Greeneville, TN 37745-3285
Fax (423) 798-1755
Mailing address
750 Edens Rd
Afton, TN 37616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 20899 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477916906
Tenicia Clark, APN, FNP-C's National Provider Identifier is 1477916906, issued on Apr 1, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greeneville, TN. The record was last updated on Aug 4, 2026.