Clark Family Practice, Pllc

LBN: Clark Family Practice, Pllc
Clark Family Practice, Pllc is an health care organization with primary practice located at 3443 Dickerson Pike Ste 660 , Nashville TN 37207-2519. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Clark Family Practice, Pllc can be contacted via phone (615) 988-1109, or through Clark, Russell via phone (615) 988-1109.

Contact Information

Primary practice address
3443 Dickerson Pike Ste 660 Nashville TN 37207-2519
Phone: (615) 988-1109
Fax: (949) 798-7514
Website:
Map and Directions
Authorized official contact:
Name: Clark, Russell FNP-C
Phone: (615) 988-1109

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 20179 Tennessee

Profile Details

NPI number 1396250155
LBN Legal business name Clark Family Practice, Pllc
DBA Doing business as
Authorized official Clark, Russell FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2017
Last updated Apr 26th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396250155 NPPES
Tennessee MEDICAID Q034840

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