Individual provider · Type 1 NPI

Alisha Kaye Clark, RN, CPNP-AC

Pediatric Nurse Practitioner · Memphis, TN

NPI number 1699269035 Active

Practice location

262 Danny Thomas Pl
Memphis, TN 38105-3678

Call (901) 595-3300 Map

Mailing address

262 Danny Thomas Pl # Ms 515
Memphis, TN 38105-3678

Specialties and licenses

Taxonomy	Code	License
Critical Care Pediatric Nurse Practitioner	363LP0222X	27212 (TN)
Pediatric Nurse Practitioner Primary	363LP0200X	27212 (TN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1699269035

Alisha Kaye Clark, RN, CPNP-AC's National Provider Identifier is 1699269035, issued on Jun 19, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Memphis, TN. The record was last updated on Oct 14, 2024.