Individual provider · Type 1 NPI

Mark Allen Clark

Pediatric Nurse Practitioner · Fredericksburg, VA

NPI number 1407903693 Active

Practice location

111 Park Hill Dr # A
Fredericksburg, VA 22401-3357

Call (540) 368-1044 Map

Mailing address

22445 Conservancy Dr
Ashburn, VA 20148-8068

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X0024166868 (VA)

Pediatric Nurse Practitioner: Definition to come...

Other pediatric nurse practitioner providers in Fredericksburg

See all in Fredericksburg →

About NPI 1407903693

Mark Allen Clark's National Provider Identifier is 1407903693, issued on Jan 3, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fredericksburg, VA. The record was last updated on Nov 7, 2012.