NATHAN BLAINE CLARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034488

License Status

ACTIVE

Business

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

City

MURRAY

State

Zip

42071

Ever Disciplined

LastModifiedDate

03/02/2026