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

MRS. GRACE CLARK, AGPCNP-B

Active

MRS. GRACE CLARK, AGPCNP-B is a Adult Health Nurse Practitioner healthcare provider located in AUSTELL, Georgia. NPI 1780030734 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · AUSTELL, GA

Registration Details

NPI Number
1780030734
Provider Type
Individual
Gender
Female
NPI Issued
May 9, 2016 (10.225687682199 yrs)
Last Updated
Jan 3, 2019
Licenses
RN243044 (GA)
RN 243044 (GA)

Practice Information

Address
3825 MEDICAL PARK DR
SUITE 100
AUSTELL, GA, 301066831
Browse GA providers · Browse ZIP 30106
Phone
7709485578
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in AUSTELL, GA

Name Credential NPI
GENIEVE FROST-JOHNSON NP 1801990304
JACKIE HARMON 1639499007
DENISE J. WRIGHT NP 1164725776
MRS. ANGELETTA ANSLEY JOHNSON ARNP 1447687512
JOY P WHARTON 1154941946
ELIZABETH BILFINGER HILL AGPCNP 1063162485
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.