Individual
DENESHIA CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2443 OLD RUSSELLVILLE PIKE, CLARKVILLE, TN 37040-3179
(931) 542-9010
Mailing address
2443 OLD RUSSELLVILLE PIKE, CLARKVILLE, TN 37040-3179
(931) 542-9010
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
32448
TN
363LF0000X
Family Nurse Practitioner
Primary
32448
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q080872
—
TN
Enumeration date
09/01/2022
Last updated
04/04/2024
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