Individual
CODY ALEXANDER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3111
Mailing address
12155 HIDDEN TRL, ARLINGTON, TN 38002-4577
(702) 524-8579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00000000
TN
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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