Individual provider · Type 1 NPI

Jennifer Lee Clark, NURSE PRACTITIONER

Family Nurse Practitioner · Gray, GA

NPI number 1265661045 Active

Practice location

1005 Boulder Dr
Gray, GA 31032

Fax (478) 744-0481

Other practice locations

  • 315 W 10th St NE, Rome, GA 30165-2676 · (706) 234-1334

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN173733 (GA)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

Other family nurse practitioner providers in Gray

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About NPI 1265661045

Jennifer Lee Clark, NURSE PRACTITIONER's National Provider Identifier is 1265661045, issued on Jul 14, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gray, GA. The record was last updated on Jul 17, 2019.