THE CLINIC PLLC NPI 1093845695

NPI Information

  • NPI: 1093845695
  • Provider Name: THE CLINIC, PLLC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Address: 520 E PARKVIEW ST
    DYERSBURG, TN
    ZIP 38024
  • Phone: (731) 286-0490

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NPI Details

THE CLINIC, PLLC is a nurse practitioner in Dyersburg, TN. The provider is (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. THE CLINIC, PLLC NPI is 1093845695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

520 E PARKVIEW ST
DYERSBURG, TN
ZIP 38024-114
Phone: (731) 286-0490
Fax: (731) 286-0469

The provider's authorized official is Syble S Carter .
The authorized official title is Owner and has the following contact phone number (731) 286-0490.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 4/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerAPN 5212TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DG3551OTHERTENNESSEERAILROAD MEDICARE
23499880MEDICAIDTENNESSEE
33735646MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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