IndividualActive
Angel Clark-Kennedy
NPI 1619822251 · Licensed Practical Nurse · Port Wentworth, GA
Angel Clark-Kennedy is a Licensed Practical Nurse provider in Port Wentworth, GA (NPI 1619822251).
Provider details
- NPI number
- 1619822251
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPN399317 (GA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
302 Rice Hope Plantation Rd
Port Wentworth, GA 31407-9653
Phone: (912) 996-0107
Street-level locationGet directions
Mailing address
302 Rice Hope Plantation Rd
Port Wentworth, GA 31407-9653
Registry dates
- Enumerated
- 2026-02-27
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Frequently asked questions
- What is Angel Clark-Kennedy's NPI number?
- Angel Clark-Kennedy's National Provider Identifier (NPI) is 1619822251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angel Clark-Kennedy's specialty?
- Angel Clark-Kennedy is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Angel Clark-Kennedy located?
- Angel Clark-Kennedy's practice location on file with NPPES is 302 Rice Hope Plantation Rd, Port Wentworth, GA 31407-9653.
- What is Angel Clark-Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Angel Clark-Kennedy is (912) 996-0107.
- Is Angel Clark-Kennedy's NPI active?
- Yes — Angel Clark-Kennedy's NPI (1619822251) is active in the NPPES registry as of the last update on 2026-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.