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

Raven Clark, NP

Individual provider Nurse Practitioner · NPI 1427776160

Raven Clark, NP is a Nurse Practitioner in Marietta, Georgia. Qualified in 2021, 5 years ago. Practices with Minuteclinic LLC, a 574-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

100 Piedmont Rd NE
Marietta, GA 30066-3636
Phone: (770) 795-9844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN259021 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN259021 (GA)

Record details

NPI number1427776160
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 18, 2022
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023
Mailing address100 Piedmont Rd Ne, Marietta, GA 30066-3636

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 Minuteclinic Llc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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