person
Mr. Mark Allen Clark
Pediatric Nurse Practitioner in Fredericksburg, Virginia
NPI 1407903693

Mark Allen Clark is a Pediatric Nurse Practitioner based in Ashburn, VA and is specialized in Pediatrics. Mark Allen Clark practices in Fredericksburg, VA. The NPI Number for Mark Allen Clark is 1407903693 and holds a License No. 0024166868 (Virginia).

The current practice location address for Mark Allen Clark is 111 Park Hill Dr # A, Fredericksburg, VA and can be reached out via phone at 540-368-1044. You can also correspond with Mark Allen Clark through the mailing address at 22445 CONSERVANCY DR, ASHBURN, VA - 20148-8068 (mailing address contact number: 540-368-1044).

Location: 111 Park Hill Dr # A, Fredericksburg, VA, 20148-8068
person
Provider Profile Details
NPI Number
1407903693
Provider Name
Mark Allen Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 Park Hill Dr # A, Fredericksburg, VA, 20148-8068
Phone Number
540-368-1044
Fax Number
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
111 Park Hill Dr # A
City
State
Zip
22401-3357
Phone Number
540-368-1044
Fax Number
person
Provider Business Mailing Address Details
Address
111 Park Hill Dr # A
City
State
Zip
22401-3357
Phone Number
540-368-1044
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
0024166868 (Virginia)
Definition
Definition to come...
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