Individual provider · Type 1 NPI

Kristiana Alivia Clark, NP-C

Nurse Practitioner · Atlanta, GA

NPI number 1023613304 Active

Practice location

1046 Ridge Ave SW
Atlanta, GA 30315-1640

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN251965 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023613304

Kristiana Alivia Clark, NP-C's National Provider Identifier is 1023613304, issued on Dec 3, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 12, 2024.