Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA LYNNE CLARK, RN
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · ELY, NV
Registration Details
- NPI Number
- 1487386736
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2022 (3.8514541855891 yrs)
- Last Updated
- Jun 27, 2022
- License
-
RN95728 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1675 AVENUE FELY, NV, 893013500Browse NV providers · Browse ZIP 89301
- Phone
- 7752891671
- Fax
- 7752891561
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
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.