Individual provider · Type 1 NPI

Leila Clark, NP

Family Nurse Practitioner · La Fayette, GA

NPI number 1740728690 Active

Practice location

106 Pearl Dr Ste 106
La Fayette, GA 30728-7510

Call (706) 670-1001 Map

Fax (706) 935-3900

Mailing address

121 Justin Dr
La Fayette, GA 30728-6974

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X60018 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1740728690

Leila Clark, NP's National Provider Identifier is 1740728690, issued on Feb 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Fayette, GA. The record was last updated on Sep 25, 2025.