person
Venecia Bridgette Clark
Psychiatric/Mental Health Nurse Practitioner in Tukwila, Washington
NPI 1982169728

Venecia Bridgette Clark is a Psychiatric/Mental Health Nurse Practitioner based in Tukwlia, WA and is specialized in Psychiatric/Mental Health. Venecia Bridgette Clark practices in Tukwila, WA. The NPI Number for Venecia Bridgette Clark is 1982169728 and holds a License No. 24257 (Washington).

The current practice location address for Venecia Bridgette Clark is 6450 Southcenter Blvd Ste 102, Tukwila, WA and can be reached out via phone at 206-721-6170. You can also correspond with Venecia Bridgette Clark through the mailing address at 5455 65TH AVE S, TUKWLIA, WA - 98188 (mailing address contact number: ).

Location: 6450 Southcenter Blvd Ste 102, Tukwila, WA, 98188
person
Provider Profile Details
NPI Number
1982169728
Provider Name
Venecia Bridgette Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
6450 Southcenter Blvd Ste 102, Tukwila, WA, 98188
Phone Number
206-721-6170
Fax Number
Provider Enumeration Date
02/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6450 Southcenter Blvd Ste 102
City
State
Zip
98188-2552
Phone Number
206-721-6170
Fax Number
person
Provider Business Mailing Address Details
Address
6450 Southcenter Blvd Ste 102
City
State
Zip
98188-2552
Phone Number
206-721-6170
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2020092069 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
24257 (Tennessee)
Definition
Definition to come...
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