Clark, Courtney B

Clark, Courtney B is an individual health care provider with primary practice located at 2131 N Locust Ave , Lawrenceburg TN 38464-4455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clark, Courtney B can be contacted via phone (931) 762-6545.

Contact Information

Primary practice address
2131 N Locust Ave Lawrenceburg TN 38464-4455
Phone: (931) 762-6545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 17501 Tennessee

Profile Details

NPI number 1376985036
LBN Legal business name Clark, Courtney B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2013
Last updated Apr 29th, 2025 - about last year

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 1376985036 NPPES
Tennessee MEDICAID 3710089

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