Organization
CLARK FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL CLARK FNP-C (OWNER)
(615) 988-1109
Entity
Organization
Contact information
Practice address
3443 DICKERSON PIKE STE 660, NASHVILLE, TN 37207-2519
(615) 988-1109
(949) 798-7514
Mailing address
3443 DICKERSON PIKE STE 660, NASHVILLE, TN 37207-2519
(615) 988-1109
(949) 798-7514
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20179
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q034840
—
TN
Enumeration date
12/02/2017
Last updated
04/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us