Individual provider · Type 1 NPI

Grace Clark, AGPCNP-B

Adult Health Nurse Practitioner · Austell, GA

NPI number 1780030734 Active

Practice location

3825 Medical Park Dr, Suite 100
Austell, GA 30106-6831

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XRN243044 (GA)
Adult Health Nurse Practitioner Primary 363LA2200XRN 243044 (GA)

Adult Health Nurse Practitioner: Definition to come...

15 other providers at this address

Other adult health nurse practitioner providers in Austell

See all in Austell →

About NPI 1780030734

Grace Clark, AGPCNP-B's National Provider Identifier is 1780030734, issued on May 9, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Austell, GA. The record was last updated on Jan 3, 2019.