Organization
CLARK MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINA R CLARK APRN, PMHNP-BC (OWNER)
(901) 292-4407
Entity
Organization
Contact information
Practice address
1331 UNION AVE STE 1148, MEMPHIS, TN 38104-7509
(901) 292-4407
Mailing address
1331 UNION AVE STE 1148, MEMPHIS, TN 38104-7509
(901) 292-4407
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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