Cody Alexander Clark, FNP-BC
NPI #1134841943 in Germantown, Tennessee
Provider Information
- NPI Number
- 1134841943
- Entity Type
- Individual
- Name
- Cody Alexander Clark, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Sep 19, 2022
- Last Updated
- Sep 19, 2022
Practice Location
- Address
- 1400 S GERMANTOWN RD
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138-2205
- Phone
- (901) 759-3111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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