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Active NPI 1548398506 Individual Practitioner Female Practitioner

Melissa Darlene Clark , LPN

Licensed Practical Nurse • Waverly, TN

Professional Overview & Biography Verified Profile Summary

Melissa Clark, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Waverly, TN. Practice services are available at 105 WAVERLY PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Waverly Plz

Waverly, TN 371851531

Telephone 9312964356
Fax 9312964529

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Waverly, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Waverly, TN (1262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TN 0000068909

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Judy Sherrod , RN

Registered Nurse - Psychiatric/Mental Health, Child & Adolescent

NPI 1366570301

Registered Nurse

Jessica Waldrop , BS

Case Manager/Care Coordinator

NPI 1528196672

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 105 WAVERLY PLZ, WAVERLY, TN 371851531 (Tel: 9312964356)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2195 DARRELL RYE RD, ERIN, TN 370616933 (Tel: 9312895254)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MELISSA CLARK, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #0000068909 in TN)

🟢
Initial NPI Registration & Enumeration March 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548398506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2195 Darrell Rye Rd

Erin, TN 370616933

Phone: 9312895254

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.