NPI 1003056383

Theresa Carlisle Clark, REGISTEREDNURSE

Practitioner Registered Nurse Phenix City, AL

Practice location

Address: 1900 Carriage Dr, Phenix City, AL 36867-2116
Phone: (706) 289-9327
Fax: (888) 547-2536

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 166504 (GA)

Other Registered Nurse providers in Alabama →

Registry record

NPI: 1003056383
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2009
Record last updated: 26 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.