Individual provider · Type 1 NPI
Ricketta Clark, NP
Nurse Practitioner · Memphis, TN
Practice location
880 Madison Ave
Memphis, TN 38103-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 7029 (TN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1558478933
Ricketta Clark, NP's National Provider Identifier is 1558478933, issued on Aug 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Memphis, TN. The record was last updated on Nov 9, 2021.