DOMINIQUE CLARK, FNP-C
Nurse Practitioner - Family
Active
Individual
NPI: 1346874716
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - Emergency | 163WE0003X | No | 174756 (TN) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 27344 (TN) |
Frequently Asked Questions
NPI 1346874716 is the National Provider Identifier for DOMINIQUE CLARK, FNP-C, a Nurse Practitioner - Family provider located in Cordova, TN. This NPI was enumerated on February 25, 2020.
DOMINIQUE CLARK, FNP-C practices at 1540 APPLING CARE LN, Cordova, TN 38016.
Quick Facts
- NPI
- 1346874716
- Type
- Individual
- Enumerated
- Feb 25, 2020
- Last Updated
- Nov 13, 2020
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