Individual provider · Type 1 NPI

Susanne Clark, NP

Nurse Practitioner · Cleveland, TN

NPI number 1609648021 Active

Practice location

3740 Ocoee Pl NW Ste 101
Cleveland, TN 37312-5635

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X35006 (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 1609648021

Susanne Clark, NP's National Provider Identifier is 1609648021, issued on Oct 30, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, TN. The record was last updated on Jun 28, 2024.