Individual
EMILY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
150 W PRICE RD, DANDRIDGE, TN 37725-4524
(865) 475-6161
(865) 475-9857
Mailing address
150 W PRICE RD, DANDRIDGE, TN 37725-4524
(865) 475-6161
(865) 475-9857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN115671
TN
363LF0000X
Family Nurse Practitioner
Primary
APN7627
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505764
—
TN
01
—
Q71431
UPIN
TN
Enumeration date
05/04/2006
Last updated
05/19/2015
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