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

Shaquenciana Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265160584

Shaquenciana Clark is a Student in an Organized Health Care Education/Training Program in Douglasville, Georgia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone: (770) 968-6461
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1265160584
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2022
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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