Trudy Bovie Clark, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN182103 Issued in GA

Practice address

950 Laney Walker Blvd
Augusta, GA 30901-2960

Phone

(706) 721-5800

Fax

(706) 721-5903

NPI assigned

Nov 23, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1053592709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012960",
            "telephone_number": "706-721-5800",
            "fax_number": "706-721-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012960",
            "telephone_number": "706-721-5800",
            "fax_number": "706-721-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVIE CLARK",
        "first_name": "TRUDY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN182103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Bounds, DNP, AGACNP-BC
• Catherine Ann Bourg, PHARM.D.
• Boutwell Chiropractic Group PC
• Darrell Thomas Boutwell, D.C., B.C.A.O.
• John Randall Boutwell, D.C.,B.C.A.O.
• Talmadge Arton Bowden Jr., MD
• Melanie Grace Bowen, PA-C
• Blaire Bowers, D.O.
• Cynthia Skye Bowers, BT
• David William Bowers, CRNA

• Community Health Registered Nurse in Augusta, GA
• Providers in Augusta, GA by specialty
• Community Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.