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

Mrs. Ricketta Clark, NP

Individual provider Nurse Practitioner · NPI 1558478933

Mrs. Ricketta Clark, NP is a Nurse Practitioner in Memphis, Tennessee. Qualified in 1998, 28 years ago. Practices with UT Regional One Physicians Inc, a 327-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
28
Licensed in
TN
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

880 Madison Ave
Memphis, TN 38103-3409
Phone: (901) 490-7929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7029 (TN)

Record details

NPI number1558478933
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021
Mailing address880 Madison Ave, Memphis, TN 38103-3409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Ut Regional One Physicians Inc — 327 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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