Clark, Carol A

Clark, Carol A is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Clark, Carol A can be contacted via phone (615) 936-3000.

Contact Information

Primary practice address
3601 The Vanderbilt Clinic Nashville TN 37232
Phone: (615) 936-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 016181 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 16181 Tennessee

Profile Details

NPI number 1093726317
LBN Legal business name Clark, Carol A
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 27th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093726317 NPPES
Tennessee MEDICAID Q024313

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