Individual
CLARK R. GWALTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP-PACNP, RNFA, CPN
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-6339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
29917
TN
Other
Enumeration date
07/26/2021
Last updated
12/10/2025
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