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ANGEL CLARK-KENNEDY
NPI 1619822251
Licensed Practical Nurse in Port Wentworth, GA

Active since February 27, 2026
302 RICE HOPE PLANTATION RD, PORT WENTWORTH, GA 31407(912) 996-0107 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angel Clark-kennedy NPPES

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

ANGEL CLARK-KENNEDY (NPI 1619822251) is an individual licensed practical nurse in Port Wentworth, Georgia, licensed in Georgia (LPN399317) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1619822251
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGEL CLARK-KENNEDY
Location Address302 RICE HOPE PLANTATION RDPort Wentworth, GA 31407-9653
Mailing Address302 Rice Hope Plantation RdPort Wentworth, GA 31407-9653 · (912) 996-0107
Phone(912) 996-0107
Sole ProprietorYes
Enumeration DateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1619822251 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 · LPN399317
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.
302 RICE HOPE PLANTATION RD, Port Wentworth, GA 31407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHYANNE ATOCHA NOURSE
Counselor (Addiction (Substance Use Disorder))
302 RICE HOPE PLANTATION RD
PORT WENTWORTH, GA 31407
Chatham County (912) 414-7054
INTERSECTIONS BEHAVIORAL HEALTH LLC
Substance Abuse Rehabilitation Facility
302 RICE HOPE PLANTATION RD
PORT WENTWORTH, GA 31407
Chatham County (925) 948-5035

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 Angel Clark-kennedy's NPI number?

The NPI number for Angel Clark-kennedy is 1619822251. It was assigned to this individual provider in the NPPES registry on February 27, 2026.

Where is Angel Clark-kennedy located?

Angel Clark-kennedy practices at 302 Rice Hope Plantation Rd, Port Wentworth, GA 31407. The listed phone number is (912) 996-0107.

What is Angel Clark-kennedy'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 Angel Clark-kennedy was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.