RICKETTA CLARK

MEMPHIS, TN
NPI1558478933
Former NameRICKETTA L HARRELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  7029)
Enumeration Date2006-08-23
Last Update Date2021-11-09
Business Address
Mrs. RICKETTA CLARK NP
880 MADISON AVE
MEMPHIS, TN 38103-3409
Phone number: 901-490-7929
Mailing Address
Mrs. RICKETTA CLARK NP
880 MADISON AVE
MEMPHIS, TN 38103-3409
Phone number: 901-490-7929