Individual provider · Type 1 NPI

Kristin Marie Jerome Clark, PA-C

Physician Assistant · Woodbridge, VA

NPI number 1528291069 Active

Practice location

14010 Smoketown Rd Ste 117
Woodbridge, VA 22192-4704

Call (718) 920-6656 Map

Mailing address

14010 Smoketown Rd
Woodbridge, VA 22192-4722

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110003441 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1528291069

Kristin Marie Jerome Clark, PA-C's National Provider Identifier is 1528291069, issued on Sep 1, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Woodbridge, VA. The record was last updated on Apr 6, 2016.