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

Jessica Lane Clark, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093387664

Jessica Lane Clark, PMHNP is a Nurse Practitioner in Athens, Georgia. Qualified in 2021, 5 years ago. Practices with Personal Recovery Network LLC, a 605-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

745 S Milledge Ave Ste 1A
Athens, GA 30605-1292
Phone: (706) 498-9560
Fax: (706) 498-9568
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-NP222359 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN222359 (GA)

Record details

NPI number1093387664
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJuly 13, 2021
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Personal Recovery Network Llc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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