Individual
JENNIFER L CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D CCC-A
Contact information
Practice address
4230 HARDING PIKE, STE 400, NASHVILLE, TN 37205-2013
(615) 297-2700
(615) 386-2399
Mailing address
104 WOODMONT BLVD, LL50, NASHVILLE, TN 37205-2245
(615) 386-2398
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1659
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532846
—
TN
01
—
4360888
BLUECROSS BLUESHIELD TN
TN
Enumeration date
06/27/2012
Last updated
05/12/2015
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