IndividualActive
Alisha Clark, RN, CPNP-AC
NPI 1699269035 · Pediatric Nurse Practitioner · Memphis, TN
Provider details
- NPI number
- 1699269035
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- 27212 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone: (901) 595-3300
Approximate (ZIP-level) locationGet directions
Mailing address
262 Danny Thomas Pl # Ms 515
Memphis, TN 38105-3678
Registry dates
- Enumerated
- 2018-06-19
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.