CHERYL GERVIN-CLARK NP-C
NPI 1366874208
Nurse Practitioner - Adult Health in Albany, GA
Active since August 02, 2013
About Cheryl Gervin-clark Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHERYL GERVIN-CLARK NP-C (NPI 1366874208) is an individual adult health provider in Albany, Georgia, licensed in Georgia (RN197685) and active in the NPI registry since August 2013.
NPPES Registry Identity
NPI1366874208
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCHERYL GERVIN-CLARKCredential: NP-C
Location Address2318 PEARCE AVEAlbany, GA 31705-3312
Mailing Address2318 Pearce AveAlbany, GA 31705-3312
Phone(229) 255-6049
Sole ProprietorNo
Enumeration DateAugust 2, 2013
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1366874208 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN197685
2318 PEARCE AVE, Albany, GA 31705
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366874208, enumerated as an "individual" on August 02, 2013.
The provider is located at 2318 PEARCE AVE ALBANY, GA 31705 and the phone number is (229) 255-6049.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
