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

Miranda Clark, FNP

Individual provider Family Nurse Practitioner · NPI 1407528722

Miranda Clark, FNP is a Family Nurse Practitioner in Millington, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

4772 Navy Rd Ste A
Millington, TN 38053-1927
Phone: (901) 873-0930
Fax: (901) 873-0931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 135 Carmen Ln, Santa Maria, CA 93458-7729 — (805) 332-4568

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 29697 (TN)

Record details

NPI number1407528722
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address3243 Cypress Rd, Memphis, TN 38128-6103

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