Individual
JULIANNA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S WALNUT BEND RD STE 12, CORDOVA, TN 38018-7527
(901) 767-0101
(901) 767-0304
Mailing address
7811 HOLLY SPRINGS RD, HERNANDO, MS 38632-7262
(843) 607-7366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
34643
TN
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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