person
Miranda Clark, FNP
Family Nurse Practitioner in Millington, Tennessee
NPI 1407528722

Miranda Clark is a Family Nurse Practitioner based in Memphis, TN and is specialized in Family. Miranda Clark practices in Millington, TN and has the professional credentials of FNP. The NPI Number for Miranda Clark is 1407528722 and holds a License No. 29697 (Tennessee).

The current practice location address for Miranda Clark is 4772 Navy Rd Ste A, Millington, TN and can be reached out via phone at 901-873-0930 and via fax at 901-873-0931.

Location: 4772 Navy Rd Ste A, Millington, TN, 38128-6103
person
Provider Profile Details
NPI Number
1407528722
Provider Name
Miranda Clark
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4772 Navy Rd Ste A, Millington, TN, 38128-6103
Phone Number
901-873-0930
Fax Number
901-873-0931
Provider Enumeration Date
10/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95021208 01 CA CALIFORNIA BOARD OF REGISTERED NURSING
institution
Provider Business Practice Location Address Details
Address
4772 Navy Rd Ste A
City
State
Zip
38053-1927
Phone Number
901-873-0930
Fax Number
901-873-0931
person
Provider Business Mailing Address Details
Address
4772 Navy Rd Ste A
City
State
Zip
38053-1927
Phone Number
901-873-0930
Fax Number
901-873-0931
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
29697 (Tennessee)
Definition
Definition to come...
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