MR. BENJAMIN S CLARK (NPI# 1497708572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497708572 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN S CLARK |
| Credential | FNP |
| Practice Address |
1861 Main Street Sneedville TN 37869 |
| Mailing Address |
Po Box 850 Attn Wanda Brown Rogersville TN 37857-0850 |
| Practice Telephone | 4237332131 |
| Practice Fax Number | 4237331055 |
| Mailing Telephone | 4237332131 |
| Mailing Fax Number | 4237331055 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 12038 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 4126469 | 01 |
| TN | 3643301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750110 | Benjamin Addril Clark | Pharmacist | Se Regional Pharmacy Attn: Ben Clark, 300 First Avenue South, Reidsville, GA 30453 | 2018-05-18 |
| 1285189704 | Benjamin Clark | Physical Therapist | 4501 Main St Ste 5, Shallotte, NC 28470-4585 | 2016-08-25 |
| 1275931479 | Benjamin Brian Clark | Physical Therapist | 7909 Forrest Ave, Belton, MO 64012-5303 | 2014-12-22 |
| 1831400894 | Benjamin T Clark | Family Medicine | 35945 N Gary Rd, San Tan Valley, AZ 85143-5748 | 2010-06-24 |
| 1598743627 | Benjamin Todd Clark | Dentist | 52 Medical Group, Unit 3690, Apo, AE 09126 | 2006-01-09 |
| 1730680232 | Benjamin Jonah Clark | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2018-02-21 |
| 1851773196 | Benjamin Clark | General Practice | 3288 Moanalua Rd, Honolulu, HI 96819 | 2015-06-23 |
| 1699180448 | Benjamin Allen Clark | Dentist | 1220 N Washington Ave, Durant, OK 74701-2120 | 2014-06-30 |
| 1790105674 | Benjamin Joseph Clark | Internal Medicine | 6431 Fannin St, Houston, TX 77030-1501 | 2014-04-18 |
| 1326321811 | Benjamin Paul Clark | Pharmacist | 2318 Frederica St, Owensboro, KY 42301-4826 | 2011-09-21 |
| Street Address |
1861 MAIN STREET |
| City | SNEEDVILLE |
| State | TN |
| Zip Code | 37869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568905925 | Wellmont Health System | Clinic/Center | 1519 Main Street, Sneedville, TN 37869 | 2016-12-02 |
| 1881833192 | Truett Haze Pierce | Family Medicine | 215 Circle Drive, Sneedville, TN 37869 | 2009-02-10 |
| 1740491638 | Allison Lawson | Pharmacist | 1267 Main Street, Sneedville, TN 37869 | 2007-05-24 |
| 1558490482 | Detra Lynn Lewis | Pharmacist | 1260 West Main Street, Sneedville, TN 37869 | 2007-03-05 |
| 1306985981 | Sally June Morris | Registered Nurse | 178 Willow St., Sneedville, TN 37869 | 2007-02-06 |
| 1255470811 | Margaret Ruth Wilson | Registered Nurse | 178 Willow Street, Sneedville, TN 37869 | 2007-02-06 |
| 1073674933 | County of Hancock | Home Health | 1246 Main Street, Sneedville, TN 37869 | 2006-12-13 |
| 1881798569 | Jennifer Michelle Herron | Licensed Practical Nurse | 333 Campbell Dr, Sneedville, TN 37869 | 2006-09-12 |
| 1043314735 | Martha Jane Brooks | Social Worker | 333 Campbell Drive, Sneedville, TN 37869 | 2006-09-12 |
| 1194833251 | Ken B Smith | Pharmacist | 140 Church Street, Sneedville, TN 37869 | 2006-08-28 |
| Find all providers in zip 37869 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943814 | Kimberly R Ferguson | Nurse Practitioner | 1861 Main St, Sneedville, TN 37869-3645 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1770183055 | Paige Sellers | Nurse Practitioner | 104 Colbert Way, Nashville, TN 37206-1052 | 2020-10-27 |
| 1487253035 | John Dowlen | Nurse Practitioner | 808 Danbury Cove Pl, Signal Mountain, TN 37377-1777 | 2020-10-23 |
| 1144829839 | Douglas Arthur Mcinnis Jr. | Nurse Practitioner | 7464 River Road Pike, Nashville, TN 37209-5729 | 2020-10-22 |
| 1225636871 | Natalie Scott | Nurse Practitioner | 144 Gail Dr, Hendersonville, TN 37075-3494 | 2020-10-15 |
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1093322042 | Meghan Nicole Adams | Nurse Practitioner | 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375 | 2020-09-24 |
| 1871108092 | Kimberly Jean Palmer | Nurse Practitioner | 6940 Millersburg Rd, Christiana, TN 37037-5708 | 2020-09-14 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | SNEEDVILLE |
| Zip Code | 37869 |
Please comment or provide details below to improve the information on MR. BENJAMIN S CLARK.
| 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.