Organization
CLARK FAMILY MEDICAL PRACTICE, PLLC
Active
Other names
Clark Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL CLARK FNP-C (OWNER)
(615) 988-1109
Entity
Organization
Contact information
Practice address
3443 DICKERSON PIKE STE 660, NASHVILLE, TN 37207-2537
(615) 988-1109
(949) 798-7514
Mailing address
3443 DICKERSON PIKE STE 660, NASHVILLE, TN 37207-2537
(615) 988-1109
(949) 798-7514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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