Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. THERESA CARLISLE CLARK, REGISTERED NURSE
Active Sole ProprietorMS. THERESA CARLISLE CLARK, REGISTERED NURSE is a Registered Nurse healthcare provider located in PHENIX CITY, Alabama. NPI 1003056383 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · PHENIX CITY, AL
Registration Details
- NPI Number
- 1003056383
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2009 (17.420607225401 yrs)
- Last Updated
- Feb 26, 2009
- License
-
166504 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 CARRIAGE DRPHENIX CITY, AL, 368672116Browse AL providers · Browse ZIP 36867
- Phone
- 7062899327
- Fax
- 8885472536
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in PHENIX CITY, AL
| Name | Credential | NPI |
|---|---|---|
| MS. KAREN J KING | R.N. | 1396011342 |
| TABATHA YVETTE JONES | RN | 1770003774 |
| VERNISSA ALANNA SPARKS | RN | 1346118403 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.