NPI 1043896079
Hunter Kelsey Clark
Practice location
- Address
- 809 Lamont St, Johnson City, TN 37604-5453
- Phone
- (423) 306-1716
- Mailing address
- 1208 Fredericksburg Dr, Johnson City, TN 37604-6376
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1043896079
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Mar 2021
- Record last updated
- 21 Mar 2021
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.