Nurse Practitioner, Pediatrics
Mr. MARK CLARK
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1407903693 · enumerated 2007-01-03 · record updated 2012-11-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 22445 CONSERVANCY DR, ASHBURN, VA, 20148-8068 (540) 368-1044 Fax (540) 368-1033 Google Maps Apple Maps OpenStreetMap
- Practice location 111 PARK HILL DR # A, FREDERICKSBURG, VA, 22401-3357 (540) 368-1044 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 0024166868 VA
In this directory
VA Fredericksburg city Fredericksburg Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
FREDERICKSBURG, VA, 224013357
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.