MRS. BRANDY LEE CLARK APRN
NPI 1669019600
Nurse Practitioner - Family in Dalton, GA

Active since December 10, 2019
1575 CHATTANOOGA AVE STE 1, DALTON, GA 30720(706) 876-2130 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Brandy Lee Clark Aprn NPPES

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

MRS. BRANDY LEE CLARK APRN (NPI 1669019600) is an individual family provider in Dalton, Georgia, licensed in Georgia (163349) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1669019600
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BRANDY LEE CLARKCredential: APRN
Location Address1575 CHATTANOOGA AVE STE 1Dalton, GA 30720-2672
Mailing Address1575 Chattanooga Ave Ste 1Dalton, GA 30720-2672 · (706) 876-2130
Sole ProprietorYes
Enumeration DateDecember 10, 2019
NPI 1669019600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 163349
1575 CHATTANOOGA AVE STE 1, Dalton, GA 30720

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 13

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

Pediatrics
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720
Pediatrics
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720
Nurse Practitioner (Family)
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720
Nurse Practitioner (Pediatrics)
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720
Nurse Practitioner (Family)
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720
Pediatrics
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720
Pediatrics
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720
Nurse Practitioner (Family)
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720

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 Brandy Clark's NPI number?

The NPI number for Brandy Clark is 1669019600. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Brandy Clark located?

Brandy Clark practices at 1575 Chattanooga Ave Ste 1, Dalton, GA 30720. The listed phone number is (706) 876-2130.

What is Brandy Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brandy Clark was last updated on December 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.