Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANETTA CLARK
ActiveJEANETTA CLARK is a School Counselor healthcare provider located in TULLAHOMA, Tennessee. NPI 1003298639 is currently active in the NPPES registry. Verify at CMS.
School Counselor · TULLAHOMA, TN
Registration Details
- NPI Number
- 1003298639
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2015 (11.172394434265 yrs)
- Last Updated
- Jun 19, 2015
Practice Information
- Address
-
1803 N. JACKSON STCENTERSTONE OF TENNESSEETULLAHOMA, TN, 37388Browse TN providers · Browse ZIP 37388
- Phone
- 6154636643
- Primary Specialty
-
School Counselor
101YS0200X
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.