Ms Theresa Carlisle Clark, REGISTERED NURSE - Registered Nurse in Phenix City, AL

Ms Theresa Carlisle Clark, REGISTERED NURSE is a Registered Nurse based in Phenix City, Alabama. Ms Theresa Carlisle Clark is licensed to practice in Georgia (license number 166504) and her current practice location is 1900 Carriage Dr, Phenix City, Alabama. She can be reached at her office (for appointments etc.) via phone at (706) 289-9327.

NPI number for Ms Theresa Carlisle Clark is 1003056383 and her current mailing address is 1900 Carriage Dr, Phenix City, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003056383.

Contact Information

Ms Theresa Carlisle Clark, REGISTERED NURSE
1900 Carriage Dr,
Phenix City, AL 36867-2116
(706) 289-9327
(888) 547-2536



Provider's Profile

Full NameMs Theresa Carlisle Clark
GenderFemale
SpecialityRegistered Nurse
Location1900 Carriage Dr, Phenix City, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003056383
  • Provider Enumeration Date: 02/26/2009
  • Last Update Date: 02/26/2009

Medical Identifiers

Medical identifiers for Ms Theresa Carlisle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003056383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 166504 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Theresa Carlisle Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Theresa Carlisle Clark, REGISTERED NURSE
1900 Carriage Dr,
Phenix City, AL 36867-2116

Ph: (706) 289-9327
Ms Theresa Carlisle Clark, REGISTERED NURSE
1900 Carriage Dr,
Phenix City, AL 36867-2116

Ph: (706) 289-9327

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Registered Nurse Nurses in Phenix City, AL

Alexa Koon, PMHNP-BC
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 3700 S Railroad St, Phenix City, AL 36867
Phone: 334-664-0463    
Ms. Karen J King, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2609 4th Ave, Phenix City, AL 36867
Phone: 706-442-0275    
Pamela Marie Rainey, REGISTER NURSE
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5015 22nd Ave, Phenix City, AL 36867
Phone: 912-492-1919    
Linda Sue Borkat, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1810 Stadium Dr, Suite 220, Phenix City, AL 36867
Phone: 334-664-0210    Fax: 334-664-0217
Mrs. Africa Olympia Todd, CRNP
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1810 Stadium Dr Ste 210, Phenix City, AL 36867
Phone: 334-291-5255    Fax: 877-395-0710
Tabatha Yvette Jones, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 506 Lee Rd 554, Phenix City, AL 36867
Phone: 706-464-2202    

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