LUCY CLARK BSN, RN, IBCLC
NPI 1124832761
Registered Nurse - Lactation Consultant in Signal Mountain, TN
Active since February 04, 2025
About Lucy Clark Bsn, Rn, Ibclc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCY CLARK BSN, RN, IBCLC (NPI 1124832761) is an individual lactation consultant provider in Signal Mountain, Tennessee, licensed in Tennessee (249376) and active in the NPI registry since February 2025.
NPPES Registry Identity
NPI1124832761
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameLUCY CLARKCredential: BSN, RN, IBCLC
Location Address3006 EDWARDS POINT RDSignal Mountain, TN 37377-1209
Mailing Address3006 Edwards Point RdSignal Mountain, TN 37377-1209 · (305) 297-2222
Phone(305) 297-2222
Sole ProprietorYes
Enumeration DateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
✔ NPI 1124832761 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License✔ Licensed in TN · 249376
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 249376 (TN)
3006 EDWARDS POINT RD, Signal Mountain, TN 37377
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124832761, enumerated as an "individual" on February 04, 2025.
The provider is located at 3006 EDWARDS POINT RD SIGNAL MOUNTAIN, TN 37377 and the phone number is (305) 297-2222.
Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.