Individual
ARIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
323 E HARPERS FERRY RD, COLLIERVILLE, TN 38017-1209
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000205511
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
36507
TN
Other
Enumeration date
05/06/2024
Last updated
07/22/2024
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