NPI 1043348634

Jodi L Clark

Practitioner Attendant Care Provider Tennessee Ridge, TN

Practice location

Address: 1330 N Main St, Tennessee Ridge, TN 37178-4003
Phone: (931) 721-3312
Mailing address: 90 Metcalf Dr, Erin, TN 37061-5010

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

Other Technician providers in Tennessee →

Registry record

NPI: 1043348634
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2007
Record last updated: 8 Jul 2007

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.