Mrs. Ricketta Clark is a Memphis, Tennessee based nurse practitioner with 27 years of experience in . She completed her graduation in 1998. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Ricketta Clark is 7029 in Tennessee. Her current practice location is 880 Madison Ave, Memphis. Patients can reach her at 901-490-7929. Mrs. Ricketta Clark is NP and her NPI number (Unique professional ID assigned by NPPES) is 1558478933. Mrs. Ricketta Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Ricketta Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4880724459
Enrollment ID:
I20100608000305
NPI Number:
1558478933
NPI Enumeration Date:
23 Aug, 2006
NPI Last Update On:
09 Nov, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Ricketta Clark are as mentioned below.
License Number
Specialization
State
Status
7029
Tennessee
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(440152)
Memphis, TN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Ricketta Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ut Regional One Physicians Inc (5698993418)
265
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Ricketta Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3905917
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Ricketta Clark 880 Madison Ave, Memphis, Tennessee
Zip:
38103-3409
Phone Number:
901-490-7929
Patients can reach Mrs. Ricketta Clark at 880 Madison Ave, Memphis, Tennessee or can call to book an appointment on 901-490-7929.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.