JULIE J CLARK FNP-BC NPI 1114159555

NPI Information

  • NPI: 1114159555
  • Provider Name: JULIE J CLARK, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 682 HEMLOCK ST STE 290
    MACON, GA
    ZIP 31201
  • Phone: (478) 633-7044

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NPI Details

Julie J Clark, FNP-BC is a family nurse practitioner in Macon, GA. Julie J Clark, FNP-BC NPI is 1114159555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

682 HEMLOCK ST STE 290
MACON, GA
ZIP 31201-312
Phone: (478) 633-7044

The NPI 1114159555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2009 and was last updated on 8/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN081345GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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