Venecia Bridgette Clark
Nurse Practitioner, Psych/Mental Health in Tukwila, WA. Individual provider (NPI-1).
NPI number1982169728
StatusActive
Last updated in NPPESMar 15, 2022
Details
- NPI
- 1982169728
- Entity type
- Individual (NPI-1)
- Name
- Venecia Bridgette Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2019
- Certification date
- Mar 15, 2022
- Last updated
- Mar 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 2020092069 | TN | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 24257 | TN |
Practice location
6450 Southcenter Blvd Ste 102Tukwila, WA 98188-2552
Phone 206-721-6170
Mailing address
5455 65th Ave STukwlia, WA 98188
Other practice locations
3250 Fledgling Cir
Woodbridge, VA 22193-1136
Woodbridge, VA 22193-1136
Phone 931-216-0922
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Tukwila, WA
- Amental Health, PLLCNPI 1174242911
- Ascend Psychiatry, PLLCNPI 1811757891
- Amanda Paige Bailey, M.A., L.M.H.C.NPI 1275671422
- Cindy Bello-Utu, ARNPNPI 1073677399
- Jennifer Leigh Black, APRNNPI 1710347943
- St John Aud Cavins, APRNNPI 1154899805
- Dubsea PsychiatryNPI 1154206639
- Edward H Ebert, PMHNPNPI 1467690693
- Anna Foster, PMHNP-BCNPI 1821509027
- Melissa Ann Fukunaga, NURSE PRACTITIONERNPI 1518214824
All 30 Psychiatric/Mental Health Nurse Practitioner providers in Tukwila · All 1,891 providers in Tukwila
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.