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Dr. Donelle Lamont Clark, DNP
Psychiatric/Mental Health Nurse Practitioner in Robins Afb, Georgia
NPI 1588213128

Donelle Lamont Clark is a Psychiatric/Mental Health Nurse Practitioner based in Kathleen, GA and is specialized in Psychiatric/Mental Health. Donelle Lamont Clark practices in Robins Afb, GA and has the professional credentials of DNP. The NPI Number for Donelle Lamont Clark is 1588213128 and holds a License No. AP61073178 (Georgia).

The current practice location address for Donelle Lamont Clark is 655 7Th St Bldg 700A7878, Robins Afb, GA and can be reached out via phone at 478-327-8398.

Location: 655 7Th St Bldg 700A7878, Robins Afb, GA, 31047-2768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588213128
Provider Name
Donelle Lamont Clark
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
655 7Th St Bldg 700A7878, Robins Afb, GA, 31047-2768
Phone Number
478-327-8398
Fax Number
Provider Enumeration Date
09/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
655 7Th St Bldg 700A7878
City
Robins Afb
State
Georgia
Zip
31098-2227
Phone Number
478-327-8398
Fax Number
person
Provider Business Mailing Address Details
Address
655 7Th St Bldg 700A7878
City
Robins Afb
State
Georgia
Zip
31098-2227
Phone Number
478-327-8398
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP61073178 (Washington)
Definition
Definition to come...
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