Geneva Lynn Clark, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

65206 Issued in TN

Practice address

3041 Getwell Rd
Suite 101
Memphis, TN 38118-3737

Phone

(901) 375-1050

Fax

(901) 375-1588

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1851739874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WHISPERING RIDGE CV",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380604639",
            "telephone_number": "901-466-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 GETWELL RD",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183737",
            "telephone_number": "901-375-1050",
            "fax_number": "901-375-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GENEVA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "65206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camaya Alisha Clark
• Carolyn D Clark
• Christina Clark
• Cora Clark
• Deborah Clark, LICENSED PTA
• John Monroe Clark, DDS
• Karen Arnold Clark, PH.D.
• Karen L Clark, PA
• Kattie Clark, BA
• Kenneth David Clark, M.D.

• Licensed Practical Nurse in Memphis, TN
• Providers in Memphis, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.