SHANIQUA S CLARK


Address: 1035 14th Ave N, Nashville, TN 37208-3050
Phone: 6153279400

SHANIQUA S CLARK (NPI# 1932514197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932514197
Entity Type Individual
Full Name SHANIQUA S CLARK
Practice Address 1035 14th Ave N
Nashville
TN 37208-3050
Practice Telephone 6153279400
Mailing Telephone 6153279400
Enumeration Date 2014-06-26
Last Update Date 2014-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family 		APN0000017300 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1035 14TH AVE N
City NASHVILLE
State TN
Zip Code 37208-3050

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902810179 Latonya Denise Knott Internal Medicine 1035 14th Ave N, Matthew Walker Comprehensive Health Center, Nashville, TN 37208-3050 2006-07-27
1447877485 Lorianne Marsh Registered Nurse 1035 14th Ave N, Nashville, TN 37208-3050 2020-06-25
1679198469 Shannon Davies Nurse Practitioner 1035 14th Ave N, Nashville, TN 37208-3050 2020-06-08
1144889551 Diahann Shola Onadeko Dentist 1035 14th Ave N, Nashville, TN 37208-3050 2019-06-10
1528542230 Onika L'shaye Richmond-hibbler Nurse Practitioner 1035 14th Ave N, Nashville, TN 37208-3050 2018-09-18
1154871564 Amanda Holley Registered Nurse 1035 14th Ave N, Nashville, TN 37208-3050 2016-10-10
1811446073 Laureen Easley Registered Nurse 1035 14th Ave N, Nashville, TN 37208-3050 2016-09-29
1265897508 Megan Elizabeth Wilkey Dental Hygienist 1035 14th Ave N, Nashville, TN 37208-3050 2015-12-30
1265818801 Tessa Lee Tyson Marriage & Family Therapist 1035 14th Ave N, Nashville, TN 37208-3050 2015-08-05
1952665911 Elizabeth Nicoll Hannaway Social Worker 1035 14th Ave N, Nashville, TN 37208-3050 2012-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679199210 Michele M Collins Student in an Organized Health Care Education/Training Program 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 2020-06-19
1730700105 Prince Eleeh Student in an Organized Health Care Education/Training Program Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 2020-04-27
1750900411 James Curtis Roberson IIi Student in an Organized Health Care Education/Training Program 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 2020-04-13
1184252322 Sandip Chaugai Student in an Organized Health Care Education/Training Program 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 2020-04-01
1366070542 Bukola Adeyinka Olagbende Student in an Organized Health Care Education/Training Program 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 2020-04-01
1821651704 Vielka Oglivie Social Worker 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 2019-04-17
1154882702 Ajua Fondong Azingala Student in an Organized Health Care Education/Training Program 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 2019-03-27
1437619749 Dockmias Kassahun Demeke Student in an Organized Health Care Education/Training Program 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 2019-03-22
1225598717 Ekemini Ima Orok Student in an Organized Health Care Education/Training Program 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 2019-03-21
1861952608 Andrea Giselle Lozano Student in an Organized Health Care Education/Training Program 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 2019-03-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275134025 Dara Downs Nurse Practitioner 1120 Glenview Dr, Nashville, TN 37206-3832 2020-11-06
1033718960 Kasi Wells Nurse Practitioner 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 2020-10-21
1326645649 Christina Mccartney Bulluck Nurse Practitioner 105 Nassau Ct, Nashville, NC 27856-1656 2020-10-09
1629684568 Kathryn Ann Vago Nurse Practitioner 320 Doe Ridge Ct, Nashville, TN 37214-4741 2020-09-16
1275149163 Courtney Lee Hunt Nurse Practitioner 5202 Centennial Blvd Ste 110, Nashville, TN 37209-1478 2020-09-16
1205441276 Amy J Evans Nurse Practitioner 912a Spain Ave, Nashville, TN 37216-3625 2020-09-15
1285248898 Stephanie Logan Nurse Practitioner 4720 Brighton Village Dr Unit A8, Nashville, TN 37211-6672 2020-09-01
1811500739 Lauren Megan Jones Nurse Practitioner 1204b N 6th St, Nashville, TN 37207-5518 2020-08-29
1841802741 Shasti Miller Nurse Practitioner 512 Old Hickory Blvd Apt 1819, Nashville, TN 37209-6104 2020-08-20
1770193633 Nesheba Joy Facey-thomas Nurse Practitioner 1413 Ramble Hill Cir, Nashville, TN 37211-8530 2020-08-05
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Competitor

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City NASHVILLE
Zip Code 37208

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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