person
James Clark Childress
Primary Care Nurse Practitioner in Sparta, Tennessee
NPI 1316509334

James Clark Childress is a Primary Care Nurse Practitioner based in Cookeville, TN and is specialized in Primary Care. James Clark Childress practices in Sparta, TN. The NPI Number for James Clark Childress is 1316509334 and holds a License No. 26091 (Tennessee).

The current practice location address for James Clark Childress is 457 Vista Dr, Sparta, TN and can be reached out via phone at 931-738-3383.

Location: 457 Vista Dr, Sparta, TN, 38501-0743
person
Provider Profile Details
NPI Number
1316509334
Provider Name
James Clark Childress
Credential
Provider Entity Type
Individual
Gender
Male
Address
457 Vista Dr, Sparta, TN, 38501-0743
Phone Number
931-738-3383
Fax Number
Provider Enumeration Date
06/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
457 Vista Dr
City
State
Zip
38583-1360
Phone Number
931-738-3383
Fax Number
person
Provider Business Mailing Address Details
Address
457 Vista Dr
City
State
Zip
38583-1360
Phone Number
931-738-3383
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
26091 (Tennessee)
Definition
Definition to come...
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