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Stephanie Nicole Clark
Family Nurse Practitioner in Stockbridge, Georgia
NPI 1760002893

Stephanie Nicole Clark is a Family Nurse Practitioner based in Stockbridge, GA and is specialized in Family. Stephanie Nicole Clark practices in Stockbridge, GA. The NPI Number for Stephanie Nicole Clark is 1760002893 and holds a License No. RN225891 (Georgia).

The current practice location address for Stephanie Nicole Clark is 1050 Eagles Landing Pkwy Ste 202, Stockbridge, GA and can be reached out via phone at 678-289-1988 and via fax at 678-289-1512.

Location: 1050 Eagles Landing Pkwy Ste 202, Stockbridge, GA, 30281-9200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760002893
Provider Name
Stephanie Nicole Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1050 Eagles Landing Pkwy Ste 202, Stockbridge, GA, 30281-9200
Phone Number
678-289-1988
Fax Number
678-289-1512
Provider Enumeration Date
04/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1050 Eagles Landing Pkwy Ste 202
City
Stockbridge
State
Georgia
Zip
30281-9200
Phone Number
678-289-1988
Fax Number
678-289-1512
person
Provider Business Mailing Address Details
Address
1050 Eagles Landing Pkwy Ste 202
City
Stockbridge
State
Georgia
Zip
30281-9200
Phone Number
678-289-1988
Fax Number
678-289-1512
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN225891 (Georgia)
Definition
Definition to come...
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