Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lee Clark, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1265661045

Jennifer Lee Clark, NURSEPRACTITIONER is a Family Nurse Practitioner in Gray, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2009

Practice location Address checks out

1005 Boulder Dr
Gray, GA 31032
Phone: (478) 621-2100
Fax: (478) 744-0481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 W 10th St Ne, Rome, GA 30165-2676 — (706) 234-1334

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN173733 (GA)

Record details

NPI number1265661045
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 14, 2009
Last updated in NPPESJuly 17, 2019

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