Individual provider · Type 1 NPI

Stephanie Nicole Clark

Family Nurse Practitioner · Stockbridge, GA

NPI number 1760002893 Active

Practice location

1050 Eagles Landing Pkwy Ste 202
Stockbridge, GA 30281-9200

Call (678) 289-1988 Map

Fax (678) 289-1512

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN225891 (GA)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1760002893

Stephanie Nicole Clark's National Provider Identifier is 1760002893, issued on Apr 18, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stockbridge, GA. The record was last updated on Sep 8, 2021.