Melissa Darlene Clark, LPN is a
Licensed Practical Nurse based in Waverly, Tennessee. Melissa Darlene Clark is licensed to practice in Tennessee (license number 0000068909) and her current practice location is
105 Waverly Plz, Waverly, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 296-4356.
NPI number for Melissa Darlene Clark is 1548398506 and her current mailing address is 2195 Darrell Rye Rd, Erin, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548398506.
Provider's Profile
Full Name | Melissa Darlene Clark |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 105 Waverly Plz, Waverly, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548398506
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Melissa Darlene Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548398506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 0000068909 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Darlene Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Melissa Darlene Clark, LPN 2195 Darrell Rye Rd, Erin, TN 37061-6933 Ph: (931) 289-5254 | Melissa Darlene Clark, LPN 105 Waverly Plz, Waverly, TN 37185-1531 Ph: (931) 296-4356 |
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