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

Sally Lee Clark, NP

Individual provider Family Nurse Practitioner · NPI 1699540435

Sally Lee Clark, NP is a Nurse Practitioner in Maryville, Tennessee. Qualified in 2022, 4 years ago. Practices with Blount Memorial Physician Group Inc, a 249-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2023
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

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone: (865) 977-4618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 33133 (TN)

Record details

NPI number1699540435
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 21, 2023
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Blount Memorial Physician Group Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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