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Jennie Clark
NPI 1730535006 · on the registry since 2016
Practice
- Address
- 9216 Shawnee Trl
Brentwood, TN 37027 - Phone
- (615) 221-8739
Additional practice sites
- 101 International Dr Ste 102, Franklin, TN
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2251X0800X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-11
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