TENICIA CLARK (NPI# 1477916906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477916906 |
| Entity Type | Individual |
| Full Name | TENICIA CLARK |
| Credential | APN, FNP-C |
| Practice Address |
810 W Church St Greeneville TN 37745-3285 |
| Practice Telephone | 4237981749 |
| Practice Fax Number | 4237981755 |
| Mailing Telephone | 4237981749 |
| Mailing Fax Number | 4237981755 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20899 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE | P01672905 | 01 |
| TN | Q020533 | 05 |
| Street Address |
810 W CHURCH ST |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-3285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982715215 | Kelly Day Hodge | Nurse Practitioner | 810 W Church St, Greeneville, TN 37745-3285 | 2006-08-31 |
| 1760021901 | Marti Leeman | Registered Nurse | 810 W Church St, Greeneville, TN 37745-3285 | 2020-01-06 |
| 1962966333 | Tiffany Anne Wilkerson | Registered Nurse | 810 W Church St, Greeneville, TN 37745-3285 | 2019-01-30 |
| 1164941837 | Tiffany Leeann Turner | Registered Nurse | 810 W Church St, Greeneville, TN 37745-3285 | 2017-09-14 |
| 1861936502 | Ashey Musgrove | Registered Nurse | 810 W Church St, Greeneville, TN 37745-3285 | 2016-12-15 |
| 1457804551 | Elizabeth Ashley Collins | Registered Nurse | 810 W Church St, Greeneville, TN 37745-3285 | 2016-07-26 |
| 1437510484 | Sherrie Woods | Nurse Practitioner | 810 W Church St, Greeneville, TN 37745-3285 | 2016-03-17 |
| 1225414022 | Sarah Gordon | Licensed Practical Nurse | 810 W Church St, Greeneville, TN 37745-3285 | 2015-08-04 |
| 1508271073 | Jessica Burke | Registered Nurse | 810 W Church St, Greeneville, TN 37745-3285 | 2014-06-24 |
| 1427477421 | Leslie Jones | Registered Nurse | 810 W Church St, Greeneville, TN 37745-3285 | 2014-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467084491 | Heather P Shelton | Nurse Practitioner | 1018 Sun Valley Vlg, Greeneville, TN 37745-6548 | 2020-02-07 |
| 1114557550 | Amy L Johnson | Nurse Practitioner | 145 Indian Hills Dr, Greeneville, TN 37745-6316 | 2020-01-24 |
| 1770113136 | Jaime Lee Mcclellan | Nurse Practitioner | 545 Old Newport Hwy, Greeneville, TN 37743-3889 | 2020-01-24 |
| 1558991158 | Christopher Brian Gong | Nurse Practitioner | 1404 Tusculum Blvd Ste 300, Greeneville, TN 37745-4395 | 2020-01-22 |
| 1639637812 | Beverly Ann Mahler | Nurse Practitioner | 125 Hopeville Ave, Greeneville, TN 37745-6312 | 2019-03-07 |
| 1801379078 | Tammy Melissa Solomon | Nurse Practitioner | 204 N Cutler St, Greeneville, TN 37745-3846 | 2018-09-12 |
| 1255853040 | Christina L Birchfield | Nurse Practitioner | 1404 Tusculum Blvd Ste 2300, Greeneville, TN 37745-4329 | 2017-07-13 |
| 1265986400 | Kimberly Patterson | Nurse Practitioner | 809 Redbud Dr, Greeneville, TN 37743-6141 | 2016-08-04 |
| 1275911778 | Kimberly Hoyle | Nurse Practitioner | 1410 Tusculum Blvd Ste 2200, Greeneville, TN 37745-5822 | 2015-05-15 |
| 1902151616 | Haley D. Quillen | Nurse Practitioner | 2055 E Andrew Johnson Hwy Ste 3, Greeneville, TN 37745-4633 | 2012-07-18 |
| Find all providers in GREENEVILLE | ||||
| City | GREENEVILLE |
| Zip Code | 37745 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.