MRS. Shantera Clark, FNP-C
NPI #1962020057 in Statesboro, Georgia
Provider Information
- NPI Number
- 1962020057
- Entity Type
- Individual
- Name
- MRS. Shantera Clark, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Jul 6, 2020
- Last Updated
- Aug 4, 2022
Practice Location
- Address
- 630 OGEECHEE DR W
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30461-6753
- Phone
- (478) 456-0238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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