EDNA MICHELLE CLARK (LPN) – Licensed Practical Nurse, NPI 1114918158

EDNA MICHELLE CLARK (LPN) is a healthcare provider. based in Hinesville, Georgia. specializing in Licensed Practical Nurse. They hold the professional credentials LPN. They hold a License No. LPN047051 (GA). The NPI Number for EDNA MICHELLE CLARK (LPN) is 1114918158

Main info

Female
Name
EDNA MICHELLE CLARK (LPN)
NPI
1114918158
Phone
(912) 368-2107
Address
635 SLADE ST
Enumeration Date
31 October 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for EDNA MICHELLE CLARK (LPN)

  • 635, Slade Street, Pineview, Evergreen, Hinesville, Liberty County, Georgia, 31313, United States

    HINESVILLE, GA 313133941

    Phone: (912) 368-2107

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31313)

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Reviews

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Frequently asked questions

How do payers reference EDNA MICHELLE CLARK (LPN)?
For EDNA MICHELLE CLARK (LPN), use NPI 1114918158 as the unique 10-digit identifier.
Would EDNA MICHELLE CLARK (LPN) appear as active to a payer?
You can treat EDNA MICHELLE CLARK (LPN) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is EDNA MICHELLE CLARK (LPN)?
EDNA MICHELLE CLARK (LPN) is associated with Licensed Practical Nurse in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with EDNA MICHELLE CLARK (LPN)?
Directory geography for EDNA MICHELLE CLARK (LPN) centers on Hinesville, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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