# CHARLES E RICKARD JR FNP PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Rickard Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861446858
- **Authorized official:** MR. CHARLES E RICKARD JR. FNP,MSN,APN,BC (OWNER)
- **Authorized official phone:** (731) 989-1007

## Contact information

- **Practice address:** 557 W PARK PL, HENDERSON, TN 38340-2027
- **Practice address phone:** (731) 989-1007
- **Practice address fax:** (731) 989-0704
- **Mailing address:** 557 W PARK PL, HENDERSON, TN 38340-2027
- **Mailing address phone:** (731) 989-1007
- **Mailing address fax:** (731) 989-0704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 44-3960 | TN | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 05/27/2010