Shawn Clark, REGISTERED NURSE is a
Registered Nurse based in Fall Branch, Tennessee. Shawn Clark is licensed to practice in Tennessee (license number RN0000147665) and her current practice location is
405 Taylor Rd, Fall Branch, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 726-1139.
NPI number for Shawn Clark is 1144681578 and her current mailing address is 405 Taylor Rd, Fall Branch, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144681578.
Provider's Profile
Full Name | Shawn Clark |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 405 Taylor Rd, Fall Branch, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144681578
- Provider Enumeration Date: 03/12/2016
- Last Update Date: 03/12/2016
Medical Identifiers
Medical identifiers for Shawn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144681578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN0000147665 (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. Shawn 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 |
Shawn Clark, REGISTERED NURSE 405 Taylor Rd, Fall Branch, TN 37656-3013 Ph: (423) 726-1139 | Shawn Clark, REGISTERED NURSE 405 Taylor Rd, Fall Branch, TN 37656-3013 Ph: (423) 726-1139 |
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