Individual provider · Type 1 NPI

Kelley Nichola Clark, CRNA

Certified Registered Nurse Anesthetist · Lawrenceville, GA

NPI number 1245652528 Active

Practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Fax (678) 312-3282

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000XGAA-CRNA004022 (GA)
Certified Registered Nurse Anesthetist Primary 367500000XR196154 (MD)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1245652528

Kelley Nichola Clark, CRNA's National Provider Identifier is 1245652528, issued on Jan 6, 2014. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 23, 2026.