Individual
MS. ASHLEY NICOLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
125 MCDONALD AVE, CUTHBERT, GA 39840-5829
(229) 732-3721
(229) 732-6528
Mailing address
125 MCDONALD AVE, CUTHBERT, GA 39840-5829
(229) 732-3721
(229) 732-6528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP001864
GA
Other
Enumeration date
10/20/2021
Last updated
11/27/2023
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