| Zina Renee Clark, | |
|
7264 Hunters Tree Dr, Memphis, TN 38125-4807 | |
| (901) 292-4407 | |
| Not Available |
| Full Name | Zina Renee Clark |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Gerontology |
| Location | 7264 Hunters Tree Dr, Memphis, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508456096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 0000085468 (Tennessee) | Secondary |
| 163WG0600X | Registered Nurse - Gerontology | 0000085468 (Tennessee) | Primary |
| Entity Name | Clark Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639869050 PECOS PAC ID: 9830555374 Enrollment ID: O20230525001247 |
| Mailing Address | Practice Location Address |
|---|---|
| Zina Renee Clark, 7264 Hunters Tree Dr, Memphis, TN 38125-4807 Ph: (901) 292-4407 | Zina Renee Clark, 7264 Hunters Tree Dr, Memphis, TN 38125-4807 Ph: (901) 292-4407 |
Miss Deborah Gerise Kartheiser, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Mr. Kenneth M Harshman, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4041 Knight Arnold Rd, Memphis, TN 38118 Phone: 901-821-5841 Fax: 901-821-5662 | |
Marian Madolyn Stott, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6084 Apple Tree Dr, Memphis, TN 38115 Phone: 901-207-4804 Fax: 901-255-0758 | |
Courtney Denise Flowers, APRN,FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3000 Getwell Rd, Memphis, TN 38118 Phone: 901-369-8530 | |
Cameka Shanta Moore, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
Ms. Carmella Rose Guy, R.N., MSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 427 Linden Ave, Memphis, TN 38126 Phone: 901-577-0200 | |
Muriel Curry Rice, WHNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2430 Poplar Ave, Suite 100, Memphis, TN 38112 Phone: 901-725-1717 Fax: 901-725-3030 |