Crystal Dawn Clark, FNP-BC

NPI #1457195380 in Columbia, Tennessee

Provider Information

NPI Number: 1457195380
Entity Type: Individual
Name: Crystal Dawn Clark, FNP-BC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: FNP-BC
Enumeration Date: Jun 24, 2024
Last Updated: Jun 24, 2024

Practice Location

Address: 1605 NASHVILLE HWY STE 200
City: Columbia
State: Tennessee
ZIP Code: 38401-2132
Phone: (931) 540-4210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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