Amy S Clark (NPI# 1245640085, PAC ID# 6406074368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245640085 |
| PAC ID by PECOS | 6406074368 |
| Professional Enrollment ID | I20140905002241 |
| Full Name | Amy S Clark |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC |
| Address |
2511 Wesley St Johnson City TN 37601-1723 |
| Phone Number | 4239521700 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840587572 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2511 Wesley St, Johnson City, TN 37601-1723 | 4239521700 | IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC |
| 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 4234316111 | IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahogany N Anthony | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 106 Holt Ct, Greeneville, TN 37743-6917 |
| Holly A Parvin | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 725 Crum St, Greeneville, TN 37743-6118 |
| Andrea R Dooley | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 415 Pace St, Mcminnville, TN 37110-1246 |
| Jamie White | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 100 Elmhurst Dr, Oak Ridge, TN 37830-7621 |
| Sarah Elizabeth Wellman | Psychologist, Clinical | Ipc Pac Healthcare Services of Tennessee PC | 731 Castle Heights Ct, Lebanon, TN 37087-2646 |
| Steve Stride | Psychologist, Clinical | Ipc Pac Healthcare Services of Tennessee PC | 832 Wedgewood Ave, Nashville, TN 37203-5447 |
| Jennifer Aileen Correll | Psychologist, Clinical | Ipc Pac Healthcare Services of Tennessee PC | 791 Old Gray Station Rd, Gray, TN 37615-3717 |
| Kathleen Elizabeth Carroll | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 704 Dupree St, Brownsville, TN 38012 |
| Theresa Ann Groomes | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 2035 Stonebrook Pl, Kingsport, TN 37660-4000 |
| Clint H Trest | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 1950 Grandview Dr, Grenada, MS 38901-5066 |
| Street Address |
2511 WESLEY ST |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37601-1723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine L Devos | Physical Medicine and Rehabilitation | 2511 Wesley St, Johnson City, TN 37601-1723 | |
| Joseph K Neumann | Psychologist, Clinical | Robert E Roth Psyd | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Robert E Roth | Psychologist, Clinical | Robert E Roth Psyd | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Michael L Spady | Physical Medicine and Rehabilitation | 2511 Wesley St, Johnson City, TN 37602-1723 | |
| Renette L Davis | Nurse Practitioner | Southeastern Physician Services PC | 2511 Wesley St, Johnson City, TN 37601-1723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Schwichtenberg | Optometry | 2829 E Oakland Av, Suite 1, Johnson City, TN 37601 | |
| Robert W Lawson | Emergency Medicine | 4100 N Roan St, Suite 3, Johnson City, TN 37601-1103 | |
| Kimberly A Costello | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
| Lisa L Fahn | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
| Heather Beaudry | Psychologist, Clinical | 3119 Bristol Hwy, Suite 304, Johnson City, TN 37601-1556 | |
| Philip A Hillman | Chiropractic | 3119 Bristol Hwy, Suite 110, Johnson City, TN 37601-1563 | |
| Gamal Sami Boutros | Neurology | 329 Wesley St, Suite 1, Johnson City, TN 37601-1726 | |
| Susan D Rollins | Pathology | Outpatient Cytopathology Center | 2400 Susannah St, Suite A, Johnson City, TN 37601-1730 |
| Yasmin M Elshenawy | Pathology | Outpatient Cytopathology Center | 2400 Susannah St, Suite A, Johnson City, TN 37601-1730 |
| Janet F Stastny | Pathology | Outpatient Cytopathology Center | 2400 Susannah St, Suite A, Johnson City, TN 37601-1730 |
| Find all physicians in zip 37601 | |||
| City | JOHNSON CITY |
| Zip Code | 37601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JOHNSON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amy S Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.