CODY ALEXANDER CLARK FNP-BC NPI 1134841943

NPI Information

  • NPI: 1134841943
  • Provider Name: CODY ALEXANDER CLARK, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 S GERMANTOWN RD
    GERMANTOWN, TN
    ZIP 38138
  • Phone: (901) 759-3111

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NPI Details

Cody Alexander Clark, FNP-BC is a family nurse practitioner in Germantown, TN with 3 years of experience. Cody Alexander Clark, FNP-BC NPI is 1134841943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 S GERMANTOWN RD
GERMANTOWN, TN
ZIP 38138-205
Phone: (901) 759-3111

The NPI 1134841943 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2022 and was last updated on 9/19/2022.

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
1363LF0000XNurse PractitionerFamily00000000TENNESSEEYes

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: 3/30/2025

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