MEDICARE: SARA CLIFFORD FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F11190717	TN

General Provider Information

NPI Number	:	1659919322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA CLIFFORD FNP-C

Provider Business Mailing Address
First Line	:	7277 CHARLOTTE PIKE UNIT 323
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5051
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7277 CHARLOTTE PIKE UNIT 323
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5051
Country	:	US
Telephone Number	:	901-849-0345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2019
Last Update Date	:	12/12/2019

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Directions to “ SARA CLIFFORD FNP-C” Practice Location

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