Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENATTE VIRGINIA CLARK, ARNP
Active Sole ProprietorJENATTE VIRGINIA CLARK, ARNP is a Dermatology healthcare provider located in YAKIMA, Washington. NPI 1003250663 is currently active in the NPPES registry. Verify at CMS.
Dermatology · YAKIMA, WA
Registration Details
- NPI Number
- 1003250663
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2013 (13.338671675704 yrs)
- Last Updated
- Nov 10, 2021
- Licenses
-
AP 60329890 (WA)AP60329890 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4209 TIETON DR STE 102YAKIMA, WA, 989083377Browse WA providers · Browse ZIP 98908
- Phone
- 5096549810
- Fax
- 5099668812
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in YAKIMA, WA
| Name | Credential | NPI |
|---|---|---|
| DR. DONALD MICHAEL PEHLKE | MD | 1417048752 |
| MARVIN SCOTVOLD | — | 1528154713 |
| DR. BENJAMIN BLAINE JONES | M.D. | 1508250432 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.