Individual
MRS. KIMBERLY NACOLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC, NP-C
Contact information
Practice address
48 HILLS CREEK RD, TAYLORSVILLE, GA 30178-2051
(770) 684-8700
Mailing address
48 HILLS CREEK RD, TAYLORSVILLE, GA 30178-2051
(770) 684-8700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN245664
GA
Other
Enumeration date
11/18/2020
Last updated
02/08/2025
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