Individual provider · Type 1 NPI

Taylor Victoria Clark

Registered Nurse · Statesboro, GA

NPI number 1104712025 Active

Practice location

PO Box 8158
Statesboro, GA 30460-2000

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN292411 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104712025

Taylor Victoria Clark's National Provider Identifier is 1104712025, issued on Jun 16, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Statesboro, GA. The record was last updated on Jun 16, 2025.