Provider Demographics
NPI:1689136004
Name:CLAY, CONTESSA C (CRNA)
Entity Type:Individual
Prefix:MS
First Name:CONTESSA
Middle Name:C
Last Name:CLAY
Suffix:
Gender:F
Credentials:CRNA
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Other - Last Name:
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Mailing Address - Street 1:877 JEFFERSON AVENUE
Mailing Address - Street 2:CHANDLER BLDG 6TH FLOOR
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-2807
Mailing Address - Country:US
Mailing Address - Phone:901-545-7100
Mailing Address - Fax:901-448-5540
Practice Address - Street 1:877 JEFFERSON AVENUE
Practice Address - Street 2:CHANDLER BLDG 6TH FLOOR
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2807
Practice Address - Country:US
Practice Address - Phone:901-545-7100
Practice Address - Fax:901-448-5540
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN26007367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered