| NPI | 1558964684 |
|---|---|
| Other Name | MARRISSA LYNN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN249699) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN249699) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-02-09 |