Rachel Amanda Clark in Gray - Licensed Practical Nurse
Rachel Amanda Clark - NPI 1013114479
Rachel Amanda Clark is a Licensed Practical Nurse in Gray, Tennessee. Rachel Amanda Clark practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Rachel Amanda Clark is 1013114479. The last update date is 2007-07-08.
Rachel Amanda Clark's current location address is Po Box 9054, Gray, Tennessee. You can contact this provider via phone number 4234673600 and fax number 4234673644. The mailing address for Rachel Amanda Clark is Po Box 9054, Gray, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rachel Amanda Clark |
|---|---|
| Address | Po Box 9054, Gray, Tennessee |
| Phone Number | 4234673600 |
| Fax Number | 4234673644 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1013114479 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 9054 |
|---|---|
| City | Gray |
| State | Tennessee (TN) |
| Post Code | 376159054 |
| Phone Number | 4234673600 |
| Fax Number | 4234673644 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LPN70351 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique identification code assigned to Rachel Amanda Clark by the Centers for Medicare & Medicaid Services?
The Rachel Amanda Clark has been issued the NPI (National Provider Identifier) 1013114479. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Rachel Amanda Clark?
The Rachel Amanda Clark is situated at Po Box 9054, in the city of Gray, state of TN, with the zip code 376159054.
What is the Rachel Amanda Clark's area of specialization and corresponding taxonomy classification?
The Rachel Amanda Clark's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013114479 to Rachel Amanda Clark?
The Centers for Medicare & Medicaid Services originally issued the 1013114479 to Rachel Amanda Clark on 2007-06-29.
As of what date were the details pertaining to Rachel Amanda Clark last refreshed?
The information related to the Rachel Amanda Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.