NPI 1033463435
Judy Lynn Clark, BS
Practice location
- Address
- 2408 Susannah St, Johnson City, TN 37601-1748
- Phone
- (423) 631-0141
- Fax
- (423) 631-0157
- Mailing address
- PO Box 5645, Johnson City, TN 37602-5645
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1033463435
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Nov 2012
- Record last updated
- 7 Nov 2012
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.