1. Home
  2. Directory
  3. Georgia
  4. Hinesville
  5. Licensed Practical Nurse
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

EDNA MICHELLE CLARK LPN
NPI 1114918158
Licensed Practical Nurse in Hinesville, GA

Active since October 31, 2005
635 SLADE ST, HINESVILLE, GA 31313(912) 368-2107 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edna Michelle Clark Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDNA MICHELLE CLARK LPN (NPI 1114918158) is an individual licensed practical nurse in Hinesville, Georgia, licensed in Georgia (LPN047051) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1114918158
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameEDNA MICHELLE CLARKCredential: LPN
Location Address635 SLADE STHinesville, GA 31313-3941
Mailing Address635 Slade StHinesville, GA 31313-3941 · (912) 368-2107
Phone(912) 368-2107
Sole ProprietorNo
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1114918158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN047051
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

635 SLADE ST, Hinesville, GA 31313
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edna Clark's NPI number?

The NPI number for Edna Clark is 1114918158. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Edna Clark located?

Edna Clark practices at 635 Slade St, Hinesville, GA 31313. The listed phone number is (912) 368-2107.

What is Edna Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Edna Clark was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.