Individual
MS. CLARISSA LASHUNDRA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
Mailing address
103 HOLLAND DR APT H, CLARKSVILLE, TN 37043-2637
(615) 364-5280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
227796
TN
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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