Individual
MERLYN ANN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
210 CUTBANK CT SW, ATLANTA, GA 30331-3882
(347) 397-1987
(770) 892-5133
Mailing address
210 CUTBANK CT SW, ATLANTA, GA 30331-3882
(347) 397-1987
(770) 892-5133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN221249
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN221249
GA
Other
Enumeration date
06/07/2016
Last updated
04/14/2025
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