DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAVEN CLARK, NP

Active Sole Proprietor

RAVEN CLARK, NP is a Nurse Practitioner healthcare provider located in MARIETTA, Georgia. NPI 1427776160 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MARIETTA, GA

Registration Details

NPI Number
1427776160
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2022 (3.9846558680766 yrs)
Last Updated
Jan 6, 2023
Licenses
RN259021 (GA)
RN259021 (GA)
Sole Proprietor
Yes

Practice Information

Address
100 PIEDMONT RD NE
MARIETTA, GA, 300663636
Browse GA providers · Browse ZIP 30066
Phone
7707959844
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner

Other Nurse Practitioner Providers in MARIETTA, GA

Name Credential NPI
MS. RENEE SUNSHINE FIGUEROA MSN, APRN, BC 1457356792
MRS. JANIE CLARE RISHEL-BRIER NP-C 1023016359
MRS. SUSAN ULMER DEWOLF CRNFA, NP-C 1518966175
ELISE PACITTI NP 1689667933
MS. JO P ROBERTS CNP 1851380034
MS. DIANE FOLLMER CNP 1871582098
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.