Individual provider · Type 1 NPI

Keressa L. Clark, NP

Family Nurse Practitioner · Kingsport, TN

NPI number 1346693868 Active

Practice location

111 W Stone Dr, Suite 110
Kingsport, TN 37660-6027

Fax (423) 224-3709

Mailing address

105 W Stone Dr, Suite 6A
Kingsport, TN 37660-3365

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0024173732 (VA)
Family Nurse Practitioner Primary 363LF0000X21571 (TN)

Family Nurse Practitioner: Definition to come...

25 other providers at this address

Other family nurse practitioner providers in Kingsport

See all in Kingsport →

About NPI 1346693868

Keressa L. Clark, NP's National Provider Identifier is 1346693868, issued on Jul 20, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Sep 14, 2016.