Individual
COURTNEY B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2131 N LOCUST AVE, LAWRENCEBURG, TN 38464-4455
(931) 762-6545
Mailing address
2131 N LOCUST AVE, LAWRENCEBURG, TN 38464-4455
(931) 762-6545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710089
—
TN
Enumeration date
07/23/2013
Last updated
04/29/2025
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