NPI 1023509452

Jeanine Clark, FNP

Practitioner Family Nurse Practitioner Stockbridge, GA

Practice location

Address: 175 Medical Blvd, Stockbridge, GA 30281-5083
Phone: (239) 443-8018
Mailing address: 17 Hampton St STE F, McDonough, GA 30253-3159

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence RN243362 (GA)

Other Nurse Practitioner providers in Georgia →

Registry record

NPI: 1023509452
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2018
Record last updated: 20 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.