Individual provider · Type 1 NPI

Shaquenciana Clark

Student in an Organized Health Care Education/Training Program · Douglasville, GA

NPI number 1265160584 Active

Practice location

8954 Hospital Dr
Douglasville, GA 30134-2272

Call (770) 968-6461 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265160584

Shaquenciana Clark's National Provider Identifier is 1265160584, issued on Aug 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Douglasville, GA. The record was last updated on Apr 21, 2026.