Miranda Clark, FNP
NPI #1407528722 in Millington, Tennessee
Provider Information
- NPI Number
- 1407528722
- Entity Type
- Individual
- Name
- Miranda Clark, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Oct 5, 2021
- Last Updated
- Jul 20, 2023
Practice Location
- Address
- 4772 NAVY RD STE A
- City
- Millington
- State
- Tennessee
- ZIP Code
- 38053-1927
- Phone
- (901) 873-0930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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