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Ms. Kerry Clark, AGNP-BC
Primary Care Nurse Practitioner in Alexandria, Virginia
NPI 1932575743

Kerry Clark is a Primary Care Nurse Practitioner based in Leesburg, VA and is specialized in Primary Care. Kerry Clark practices in Alexandria, VA and has the professional credentials of AGNP-BC. The NPI Number for Kerry Clark is 1932575743 and holds a License No. RN1038780 (Virginia).

The current practice location address for Kerry Clark is 4660 Kenmore Avenue, Suite 305 & 500, Alexandria, VA and can be reached out via phone at 703-988-4683. You can also correspond with Kerry Clark through the mailing address at 224-D CORNWALL ST, LEESBURG, VA - 20176-2704 (mailing address contact number: 703-737-6010).

Location: 4660 Kenmore Avenue, Suite 305 & 500, Alexandria, VA, 20176-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932575743
Provider Name
Kerry Clark
Credential
AGNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4660 Kenmore Avenue, Suite 305 & 500, Alexandria, VA, 20176-2704
Phone Number
703-988-4683
Fax Number
Provider Enumeration Date
08/15/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932575743 05 VA
30016021870002 05 VA
institution
Provider Business Practice Location Address Details
Address
4660 Kenmore Avenue, Suite 305 & 500
City
Alexandria
State
Virginia
Zip
22304-1306
Phone Number
703-988-4683
Fax Number
person
Provider Business Mailing Address Details
Address
224-D Cornwall St
City
Leesburg
State
Virginia
Zip
20176-2704
Phone Number
703-737-6010
Fax Number
703-443-8643
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
0024178999 (Virginia)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
0024178999 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
0024178999 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
RN1038780 (District of Columbia)
Definition
Definition to come...
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