Individual
ZINA RENEE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7264 HUNTERS TREE DR, MEMPHIS, TN 38125-4807
(901) 292-4407
Mailing address
7264 HUNTERS TREE DR, MEMPHIS, TN 38125-4807
(901) 292-4407
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
0000085468
TN
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
0000085468
TN
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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