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

TIFFANY CLARK

Active Sole Proprietor

Community Health Worker · CHARLESTON, WV

Registration Details

NPI Number
1942892252
Provider Type
Individual
Gender
Female
NPI Issued
Feb 8, 2021 (5.1987125569702 yrs)
Last Updated
Feb 8, 2021
Sole Proprietor
Yes

Practice Information

Address
2913 NOYES AVE
CHARLESTON, WV, 253041107
Browse WV providers · Browse ZIP 25304
Phone
3049422660
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in CHARLESTON, WV

Name Credential NPI
JEANNIE LATICIA STEWART 1194045435
HELEN SEED 1144812637
MORGAN LEGG 1225620545
AMANDA SPURLOCK 1104418581
TY SHAWN BERKLEY 1700478948
CHASITY DEPTA 1194317206
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.