Individual provider · Type 1 NPI

Caroline Clark

Student in an Organized Health Care Education/Training Program · Virginia Beach, VA

NPI number 1417863036 Active

Practice location

1881 University Dr
Virginia Beach, VA 23453-8083

Call (757) 683-4297 Map

Fax (757) 683-5253

Mailing address

1190 N Vermont St
Arlington, VA 22201-4759

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001335094 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417863036

Caroline Clark's National Provider Identifier is 1417863036, issued on Aug 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Virginia Beach, VA. The record was last updated on Aug 22, 2026.