Individual provider · Type 1 NPI
Jessica Kate Clark, APRN
Psychiatric/Mental Health Nurse Practitioner · Waycross, GA
NPI number
1417412917
Active
Practice location
1007 Mary St
Waycross, GA 31503-3823
Other practice locations
- 3455 Harris Rd, Waycross, GA 31503-8960 · (800) 342-8168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN215514 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN215514 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Waycross
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- Latina N. Heard, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Waycross, GA NPI 1538734850
- Tanya D. Miller, FAMILY NURSE PRACTITPsychiatric/Mental Health Nurse Practitioner Waycross, GA NPI 1750855599
- Laurine Porter Jones, FNPPsychiatric/Mental Health Nurse Practitioner Waycross, GA NPI 1932624053
About NPI 1417412917
Jessica Kate Clark, APRN's National Provider Identifier is 1417412917, issued on Feb 8, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waycross, GA. The record was last updated on Apr 3, 2023.