Healthcare Provider Details

I. General information

NPI: 1720458144
Provider Name (Legal Business Name): SUZANNE CLARK STEARNS AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SUZANNE CLARK

II. Dates (important events)

Enumeration Date: 09/28/2015
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 HOWELL MILL RD NW STE 342
ATLANTA GA
30327-4109
US

IV. Provider business mailing address

3280 HOWELL MILL RD NW STE 342
ATLANTA GA
30327-4109
US

V. Phone/Fax

Practice location:
  • Phone: 404-353-3558
  • Fax:
Mailing address:
  • Phone: 404-353-3558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN252341
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN252341
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: