Dominique Clark, FNP-C

NPI 1346874716 · on the registry since 2020

Practice

Address: 1540 Appling Care Ln
Cordova, TN 38016
Phone: (901) 444-3950
Organisation at this address: Northstar Healthcare Llc
Northstar Healthcare Alpha Llc
Cordova Pain Specialists, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 163WE0003X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee