Individual provider · Type 1 NPI
Venecia Bridgette Clark
Psychiatric/Mental Health Nurse Practitioner · Tukwila, WA
NPI number
1982169728
Active
Practice location
6450 Southcenter Blvd Ste 102
Tukwila, WA 98188-2552
Mailing address
5455 65th Ave S
Tukwlia, WA 98188
Other practice locations
- 3250 Fledgling Cir, Woodbridge, VA 22193-1136 · (931) 216-0922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 24257 (TN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2020092069 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1982169728
Venecia Bridgette Clark's National Provider Identifier is 1982169728, issued on Feb 6, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tukwila, WA. The record was last updated on Mar 15, 2022.