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JALITA LAUREN CLARK LPN
NPI 1790175990
Licensed Practical Nurse in Columbus, GA

Active since January 27, 2015
2100 COMER AVE, COLUMBUS, GA 31904(706) 596-5583 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jalita Lauren Clark Lpn NPPES

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

JALITA LAUREN CLARK LPN (NPI 1790175990) is an individual licensed practical nurse in Columbus, Georgia, licensed in Georgia (LPN070344) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1790175990
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJALITA LAUREN CLARKCredential: LPN
Location Address2100 COMER AVEColumbus, GA 31904-8725
Mailing Address127 Twelve Oaks DrLagrange, GA 30241-9647 · (912) 614-8555
Phone(706) 596-5583
Sole ProprietorYes
Enumeration DateJanuary 27, 2015
✔ NPI 1790175990 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 · LPN070344
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.
2100 COMER AVE, Columbus, GA 31904
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Other Names 1

Former Name (1)Jalita Lauren Daniel Lpn

Other Providers at the Same Location NPPES 20

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

JACQUELINE STROTHER
Social Worker
2100 COMER AVE
COLUMBUS, GA 31904
Muscogee County (706) 323-0174
DIONNE LESTER
Community Health Worker
2100 COMER AVE
COLUMBUS, GA 31904
Muscogee County (706) 323-0174
MENTAL RETARDATION WAVIER PROGRAM
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2100 COMER AVE
COLUMBUS, GA 31904
Muscogee County (706) 596-5583
CASSANDRA COPELAND
Social Worker
2100 COMER AVE
COLUMBUS, GA 31904
Muscogee County (706) 323-0174
LAUREN WEBB
Case Manager/Care Coordinator
2100 COMER AVE
COLUMBUS, GA 31904
Muscogee County (706) 596-5575
SHANE GAY
Licensed Practical Nurse
2100 COMER AVE
COLUMBUS, GA 31904
Muscogee County (706) 596-5500
MRS. VICKIE DIANE GILCHRIST LPN
Licensed Practical Nurse
2100 COMER AVE
COLUMBUS, GA 31904
Muscogee County (706) 596-5500
NEW HORIZONS AREA MH MR SA PROGRAM
Clinic/Center
2100 COMER AVE
COLUMBUS, GA 31904
Muscogee County (706) 596-5500

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 Jalita Clark's NPI number?

The NPI number for Jalita Clark is 1790175990. It was assigned to this individual provider in the NPPES registry on January 27, 2015. The provider is also known as Jalita Lauren Daniel Lpn.

Where is Jalita Clark located?

Jalita Clark practices at 2100 Comer Ave, Columbus, GA 31904. The listed phone number is (706) 596-5583.

What is Jalita 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 Jalita Clark was last updated on January 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.