Individual provider · Type 1 NPI

Callie Bibb Clark, DNP, FNP-C

Nurse Practitioner · Augusta, GA

NPI number 1194498634 Active

Practice location

2258 Wrightsboro Rd Ste 400
Augusta, GA 30904-4788

Call (706) 724-4400 Map

Fax (706) 724-6003

Mailing address

PO Box 925
Augusta, GA 30903-0925

Other practice locations

818 Saint Sebastian Way Ste 311, Augusta, GA 30901-2653 · (706) 724-3473

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	254429 (GA)
Nurse Practitioner Primary	363L00000X	NP000357 (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 1194498634

Callie Bibb Clark, DNP, FNP-C's National Provider Identifier is 1194498634, issued on Jul 30, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Augusta, GA. The record was last updated on Oct 25, 2021.