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Contact Information

ALISHA K CLARK, RN, CPNP-AC
262 DANNY THOMAS PL
MEMPHIS, TN38105-3678
 Phone: 901-595-3300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics, Critical Care

363LP0222X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALISHA K CLARK · (Female)

NPI # 1699269035
Status Active
Credentials RN, CPNP-AC
Entity Individual
Enumeration date 06/19/2018
Last updated 10/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 27212
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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