Clara Clark, RN
Individual provider Active NPI Registered Nurse · Donalsonville, GA
NPI 1104589449 · NPPES record last updated Oct 13, 2021
Key facts
- NPI
- 1104589449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN199633 (GA)
- Practice address
- 5906 Hwy 39
Donalsonville, GA 39845-6122 - Phone
- (800) 977-2186
- Fax
- (912) 387-4547
- NPI assigned
- Oct 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN199633 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Home Care Corporation | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN199633 | GA | Yes |
Addresses
Primary practice location
5906 Hwy 39
Donalsonville, GA 39845-6122
Mailing address
5906 Hwy 39
Donalsonville, GA 39845-6122
Phone (800) 977-2186
Other providers in Donalsonville, GA
- Sheryl P Cannington
- Carenation Pediatrics
- Michael Robin Carr V
- CBS Healthcare, LLC
- CBS Healthcare, LLC
- Jamaca Rashad Coachman
- Donalsonville Hospital Inc
- Donalsonville Hospital, Inc
- Donalsonville Hospital, Inc
- Donalsonville Pharmacy
All providers in Donalsonville, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.