Provider Demographics
NPI:1720202526
Name:ARTHUR, CLARISSA NELSON (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARISSA
Middle Name:NELSON
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLARISSA
Other - Middle Name:
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 58793
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-8793
Mailing Address - Country:US
Mailing Address - Phone:615-833-6898
Mailing Address - Fax:615-833-6895
Practice Address - Street 1:2275 MURFREESBORO PIKE
Practice Address - Street 2:STE 109 AND 110
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3341
Practice Address - Country:US
Practice Address - Phone:615-833-6898
Practice Address - Fax:615-833-6895
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD30916207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3837736Medicaid
TN4259074OtherBCBS
TN9682102OtherAETNA
TN3837736Medicare PIN
TN3837736Medicaid