Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanetta Clark

Individual provider School Counselor · NPI 1003298639

Jeanetta Clark is a School Counselor in Tullahoma, Tennessee. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

1803 N Jackson St Centerstone Of Tennessee
Tullahoma, TN 37388
Phone: (615) 463-6643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Counselor (primary) Taxonomy 101YS0200X

Record details

NPI number1003298639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2015
Last updated in NPPESJune 19, 2015
Mailing address3605 Chasewood Dr Sw Apt 5, Huntsville, AL 35805-5180