BRYAN CLARK FNP-BC - NPI 1871414359 - Nurse Practitioner in Saint Marys, GA

Q: What is Bryan Clark's NPI number?

The NPI number for Bryan Clark is 1871414359. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Q: What is Bryan Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bryan Clark was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Bryan Clark Fnp-bc NPPES

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

BRYAN CLARK FNP-BC (NPI 1871414359) is an individual family provider in Saint Marys, Georgia, licensed in Georgia (APRN-NP266514) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1871414359

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRYAN CLARKCredential: FNP-BC

Location Address2060 DAN PROCTOR DR STE 2100Saint Marys, GA 31558-3895

Mailing Address65 Lighthouse WayWoodbine, GA 31569-4079 · (912) 552-7023 · Fax (912) 552-7023

Phone(912) 882-6767

Sole ProprietorNo

Enumeration DateJuly 22, 2026

NPPES CertifiedJuly 22, 2026

✔ NPI 1871414359 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 · APRN-NP266514

2060 DAN PROCTOR DR STE 2100, Saint Marys, GA 31558

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Other Providers at the Same Location NPPES 6

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

TODD EDWARD HARLOS PA-C

Physician Assistant