NPI age
16 years
Enumerated 2009-07-14
● Active
Type 1 · Individual
Jennifer Lee Clark, NURSE PRACTITIONER
Clark is 1 of 20 nurse practitioner providers in Gray and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-07-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
16 years
↑ 9 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Practice location
1005 Boulder Dr
Gray, GA 31032
Mailing address
1005 Boulder Dr
Gray, GA 310326141
Additional practice locations
1 secondary location on file with NPPES.
Location 2
315 W 10th St Ne
Rome, GA 301652676
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.