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

MRS. SHANTERA CLARK, FNP-C

Active

MRS. SHANTERA CLARK, FNP-C is a Family Nurse Practitioner healthcare provider located in STATESBORO, Georgia. NPI 1962020057 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · STATESBORO, GA

Registration Details

NPI Number
1962020057
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2020 (6.0856287481355 yrs)
Last Updated
Aug 4, 2022
License
RN220889 (GA)

Practice Information

Address
630 OGEECHEE DR W
STATESBORO, GA, 304616753
Browse GA providers · Browse ZIP 30461
Phone
4784560238
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in STATESBORO, GA

Name Credential NPI
MRS. TERESA BROWER CHENEY FNP 1144239104
COURTENAY L TILLMAN FNP-BC 1285746941
MRS. PATRICIA VELDA LAW FNP 1700962651
SUSAN B RILEY NP 1407932361
MRS. ANN ROBERTSON NP 1528131778
ANGELA COUSSONS-DYCHES FNP 1952454720
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.