Individual provider · Type 1 NPI

Henry Clayton Lark Iv, CRNP

Psychiatric/Mental Health Nurse Practitioner · Decatur, GA

NPI number 1386527240 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Other practice locations

  • 175 High St, Newton, NJ 07860-1004 · (973) 383-1533

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN337850 (GA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X26NJ15662600 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1386527240

Henry Clayton Lark Iv, CRNP's National Provider Identifier is 1386527240, issued on Jul 29, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Decatur, GA. The record was last updated on Oct 30, 2026.