Individual provider · Type 1 NPI
Dialisa Clark
Psychiatric/Mental Health Nurse Practitioner · Albany, GA
NPI number
1134044613
Active
Practice location
205 Oleander Rd
Albany, GA 31705-4613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2026041430 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1134044613
Dialisa Clark's National Provider Identifier is 1134044613, issued on Aug 12, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albany, GA. The record was last updated on Aug 12, 2026.