Individual provider · Type 1 NPI

Michelle Kipp Clark, APRN

Family Nurse Practitioner · Augusta, GA

NPI number 1922767508 Active

Practice location

950 15th St
Augusta, GA 30901-2608

Mailing address

3885 Grape Ave
Augusta, GA 30909-9574

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN220021 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1922767508

Michelle Kipp Clark, APRN's National Provider Identifier is 1922767508, issued on Dec 11, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Augusta, GA. The record was last updated on Dec 31, 2025.