NATHAN BLAINE CLARK - Advanced Practice Nurse License in Kentucky | # 209034488

NATHAN BLAINE CLARK

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034488

License Status

ACTIVE

Business

N

First Name

NATHAN

Middle

BLAINE

Last Name

CLARK

Business Name

NATHAN BLAINE CLARK

Original Issue Date

01/16/2026

Effective Date

01/16/2026

Expiration Date

05/31/2026

State

KY

Ever Disciplined

N

LastModifiedDate

03/02/2026