P Praxis·MD
● Active Type 1 · Individual

Jessica Kate Clark, APRN

Nurse Practitioner·Waycross, GA· NPI 1417412917 · Enumerated 2019 · 7 years on NPI
Clark is 1 of 7 nurse practitioner providers in Waycross and 1 of 1622 in Georgia.
NPI age
7 years
Enumerated 2019-02-08
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-04-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
7 years
↑ 3 yr above median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Practice location
1007 Mary St
Waycross, GA 315033823
📞 8003428168
Mailing address
1007 Mary St
Waycross, GA 315033823
📞 8003428168

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3455 Harris Rd
Waycross, GA 315038960
📞 8003428168

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN215514 taxonomy 363LP0808X
  • Nurse Practitioner
    Definition to come...
    GA license #RN215514 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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