Active NPIIndividual provider

Catherine L Clark, NP-C

Nurse Practitioner, Family in Kennesaw, Georgia

NPI Number1396226114
Practice location
2782 N Cobb Pkwy, Kennesaw, GA 30152-3472
Fax
—
Last updated
May 28, 2026

Catherine Lynn Clark is a Nurse Practitioner, Family based in Kennesaw, GA. Catherine Lynn Clark practices in Kennesaw, GA and has the professional credentials of NP-C. The NPI Number for Catherine Lynn Clark is 1396226114 and holds a License No. 5022918 (NC). The current practice location address for Catherine Lynn Clark is 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 and can be reached out via phone at 866-389-2727.

Provider Profile Details

NPI Number
1396226114
Provider Name
Catherine Lynn Clark
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2782 N Cobb Pkwy, Kennesaw, GA 30152-3472
Phone Number
866-389-2727
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Catherine Fleischer (Former Name)
Provider Enumeration Date
August 29, 2018
Last Update Date
May 28, 2026
Certification Date
May 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
State
Georgia
Zip
30152-3472
Phone Number
866-389-2727
Kennesaw, GA 30152Get directions →

Provider Business Mailing Address Details

Address
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
City
Kennesaw
State
GA
Zip
30152-3472

License Information

License Number (1)
5022918
License State (1)
NC
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
0024194712
License State (2)
VA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
17464
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
227661
License State (4)
GA
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (5)
26NJ15518900
License State (5)
NJ
Taxonomy (5)
Nurse Practitioner, Family · 363LF0000X
License Number (6)
31423
License State (6)
SC
Taxonomy (6)
Nurse Practitioner, Family · 363LF0000X
License Number (7)
124763
License State (7)
WV
Taxonomy (7)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Catherine L Clark, NP-C?

The NPI number of Catherine L Clark, NP-C is 1396226114. It was assigned on August 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Catherine L Clark, NP-C?

Catherine L Clark, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NC under license number 5022918.

Where does Catherine L Clark, NP-C practice?

The practice location is 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472. The office can be reached at 866-389-2727 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396226114 directly on the NPPES registry website.

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