Individual provider · Type 1 NPI

Edna Michelle Clark, LPN

Licensed Practical Nurse · Hinesville, GA

NPI number 1114918158 Active

Practice location

635 Slade St
Hinesville, GA 31313-3941

Call (912) 368-2107 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN047051 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114918158

Edna Michelle Clark, LPN's National Provider Identifier is 1114918158, issued on Oct 31, 2005. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hinesville, GA. The record was last updated on Jul 13, 2026.