DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KERESSA L. CLARK, NP

Active

KERESSA L. CLARK, NP is a Family Nurse Practitioner healthcare provider located in KINGSPORT, Tennessee. NPI 1346693868 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · KINGSPORT, TN

Registration Details

NPI Number
1346693868
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2016 (10.056198177175 yrs)
Last Updated
Sep 14, 2016
Licenses
0024173732 (VA)
21571 (TN)

Practice Information

Address
111 W STONE DR
SUITE 110
KINGSPORT, TN, 376606027
Browse TN providers · Browse ZIP 37660
Phone
4232243701
Fax
4232243709
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in KINGSPORT, TN

Name Credential NPI
MS. JANET CRADIC F.N.P. 1497758551
MR. CHRISTOPHER MORELOCK FNP 1245233956
MYRA WATTS FNP 1417959727
MITZI DANIELA MUSICK ANP 1780686865
MS. LINDA QUALLS FNP 1477557015
MRS. CATHERINE M RAFF FNP 1578567004
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.