Provider Demographics
NPI:1013529924
Name:PARKER, CLARE (MPH)
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1238 TAFT HWY STE 154
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-3295
Mailing Address - Country:US
Mailing Address - Phone:423-505-2928
Mailing Address - Fax:866-291-0149
Practice Address - Street 1:1238 TAFT HWY STE 154
Practice Address - Street 2:
Practice Address - City:SIGNAL MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37377-3295
Practice Address - Country:US
Practice Address - Phone:423-505-2928
Practice Address - Fax:866-291-0149
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000025916374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide