Clark, Dominique

Clark, Dominique is an individual health care provider with primary practice located at 1540 Appling Care Ln , Cordova TN 38016-4957. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Dominique can be contacted via phone (901) 444-3950.

Contact Information

Primary practice address
1540 Appling Care Ln Cordova TN 38016-4957
Phone: (901) 444-3950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 174756 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 27344 Tennessee

Profile Details

NPI number 1346874716
LBN Legal business name Clark, Dominique
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2020
Last updated Nov 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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