Individual
ADRIENNE BOTOS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, BSN, RN, FNP-C
Contact information
Practice address
1545 RAINIER FALLS DR NE, ATLANTA, GA 30329-4105
(404) 719-6746
Mailing address
1545 RAINIER FALLS DR NE, ATLANTA, GA 30329-4105
(404) 719-6746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN191508
GA
Other
Enumeration date
12/12/2024
Last updated
08/15/2025
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