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

MS. Theresa Carlisle Clark, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1003056383

MS. Theresa Carlisle Clark, REGISTEREDNURSE is a Registered Nurse in Phenix City, Alabama. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009

Practice location Address checks out

1900 Carriage Dr
Phenix City, AL 36867-2116
Phone: (706) 289-9327
Fax: (888) 547-2536
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 166504 (GA)

Record details

NPI number1003056383
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedFebruary 26, 2009
Last updated in NPPESFebruary 26, 2009

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