Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY SCOTT CLARK, CRNA
ActiveJEFFREY SCOTT CLARK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JOHNSON CITY, Tennessee. NPI 1811103138 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1811103138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.229637761178 yrs)
- Last Updated
- Dec 15, 2023
- Licenses
-
14744 (TN)0024185771 (VA)
Practice Information
- Address
-
400 N STATE OF FRANKLIN RDJOHNSON CITY, TN, 376046035Browse TN providers · Browse ZIP 37604
- Phone
- 4234316111
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in JOHNSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| JERRY MORGAN BULLARD | CRNA | 1598765919 |
| SHEILA FRANCINE BEASLEY | CRNA | 1861493793 |
| PATRICIA B CATHELYN | CRNA | 1851393805 |
| SAMUEL V DAVENPORT | CRNA | 1083616056 |
| LARRY W CORNWELL | CRNA | 1841292810 |
| AMY H ERICKSON | CRNA | 1528060423 |
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.