Dominique Clark, FNP-C
Dominique Clark, FNP-C is a Nurse Practitioner in Cordova, Tennessee. Qualified in 2019, 7 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 7
- Licensed in
- TN
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- FNP-C — Family Nurse Practitioner, Certified
- A family nurse practitioner certified by the AANP.
Practice location Address checks out
1540 Appling Care LnCordova, TN 38016-4957
Phone: (901) 444-3950
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 27344 (TN) |
|---|---|
| Emergency Registered Nurse | Taxonomy 163WE0003X · Licence 174756 (TN) |
Record details
| NPI number | 1346874716 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP-C |
| Sole proprietor | No |
| NPI enumerated | February 25, 2020 |
| Last updated in NPPES | November 13, 2020 |
| Certification date | November 13, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Fast Pace Medical Clinic Pllc — 738 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |