Miranda Clark, FNP | |
4772 Navy Rd Ste A, Millington, TN 38053-1927 | |
(901) 873-0930 | |
(901) 873-0931 |
Full Name | Miranda Clark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4772 Navy Rd Ste A, Millington, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407528722 | NPI | - | NPPES |
95021208 | Other | CA | CALIFORNIA BOARD OF REGISTERED NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 29697 (Tennessee) | Primary |
Entity Name | Hamad Ahmad Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588116891 PECOS PAC ID: 0749553816 Enrollment ID: O20170912001785 |
Mailing Address | Practice Location Address |
---|---|
Miranda Clark, FNP 3243 Cypress Rd, Memphis, TN 38128-6103 Ph: () - | Miranda Clark, FNP 4772 Navy Rd Ste A, Millington, TN 38053-1927 Ph: (901) 873-0930 |
Marde M Walker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8225 Highway 51 North, Millington, TN 38053 Phone: 901-222-9948 | |
Sharon Moore, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8081 Us Highway 51 N, Millington, TN 38053 Phone: 901-873-4194 Fax: 901-347-1333 | |
Karen P Williams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4772 Navy Rd Ste A, Millington, TN 38053 Phone: 901-873-0930 Fax: 901-873-0931 | |
Mrs. Elaina Cubine Hogan, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Primary Care Pediatrics, 8222 Hwy 51 N, Millington, TN 38053 Phone: 901-873-4242 Fax: 901-873-4269 | |
Janelle Marie Scullark-morose, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4772 Navy Rd, Millington, TN 38053 Phone: 901-333-3333 | |
Leeza Turri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4772 Navy Rd Ste A, Millington, TN 38053 Phone: 901-873-0930 Fax: 901-873-0931 | |
Mrs. Leellon Louise Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5831 Port Haven Rd, Millington, TN 38053 Phone: 901-849-4108 |