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Raven Clark, NP
Family Nurse Practitioner in Marietta, Georgia
NPI 1427776160

Raven Clark is a Family Nurse Practitioner based in Marietta, GA and is specialized in Family. Raven Clark practices in Marietta, GA and has the professional credentials of NP. The NPI Number for Raven Clark is 1427776160 and holds a License No. RN259021 (Georgia).

The current practice location address for Raven Clark is 100 Piedmont Rd Ne, Marietta, GA and can be reached out via phone at 770-795-9844.

Location: 100 Piedmont Rd Ne, Marietta, GA, 30066-3636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427776160
Provider Name
Raven Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 Piedmont Rd Ne, Marietta, GA, 30066-3636
Phone Number
770-795-9844
Fax Number
Provider Enumeration Date
08/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Piedmont Rd Ne
City
Marietta
State
Georgia
Zip
30066-3636
Phone Number
770-795-9844
Fax Number
person
Provider Business Mailing Address Details
Address
100 Piedmont Rd Ne
City
Marietta
State
Georgia
Zip
30066-3636
Phone Number
770-795-9844
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN259021 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN259021 (Georgia)
Definition
Definition to come...
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