Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KRISTIN MARIE JEROME CLARK, PA-C
Active Sole ProprietorMRS. KRISTIN MARIE JEROME CLARK, PA-C is a Physician Assistant healthcare provider located in WOODBRIDGE, Virginia. NPI 1528291069 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1528291069
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2009 (16.911490890206 yrs)
- Last Updated
- Apr 6, 2016
- License
-
0110003441 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14010 SMOKETOWN RD STE 117WOODBRIDGE, VA, 221924704Browse VA providers · Browse ZIP 22192
- Phone
- 7189206656
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WOODBRIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| CASSANDRA J VAZQUEZ | PA-C | 1043282676 |
| SEAN T ROBINSON | PA | 1164487187 |
| TAIRY ADAMS JOHNSON | P.A.-C | 1063468890 |
| MS. ELIZABETH GALLAGHER | PA | 1427116326 |
| SOHAIL SAFDARI | PA-C | 1518000793 |
| CARLYLE FAIRFAX HOOFF CASELLA | PA | 1679881486 |
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.