IndividualActive
Bryan Clapsaddle, NURSE PRACTITIONER
NPI 1427508357 · Primary Care Nurse Practitioner · Fort Campbell, KY
Provider details
- NPI number
- 1427508357
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21820 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8060
Approximate (ZIP-level) locationGet directions
Mailing address
1017 Fox Hollow Pl
Adams, TN 37010-9177
Registry dates
- Enumerated
- 2016-10-04
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.