Individual
MS. CONNIE RENEA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2410 CHARLOTTE AVE, NASHVILLE, TN 37203-1517
(972) 391-4181
(615) 327-4536
Mailing address
2410 CHARLOTTE AVE, NASHVILLE, TN 37203-1517
(972) 391-4181
(615) 327-4536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000072507
TN
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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