Individual
DR. DONELLE LAMONT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
655 7TH ST BLDG 700A7878, ROBINS AFB, GA 31098-2227
(478) 327-8398
Mailing address
655 7TH ST BLDG 700, ROBINS AFB, GA 31098-2227
(478) 327-8398
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61073178
WA
Other
Enumeration date
09/06/2019
Last updated
01/24/2025
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