Vivian Clark, FNP-BC is a
Nurse Practitioner - Family based in Nokesville, Virginia. Vivian Clark is licensed to practice in Virginia (license number 0024189931) and her current practice location is
11855 Parkgate Dr, Nokesville, Virginia. She can be reached at her office (for appointments etc.) via phone at
(571) 379-1228.
NPI number for Vivian Clark is 1699528117 and her current mailing address is 11855 Parkgate Dr, Nokesville, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699528117.
Provider's Profile
| Full Name | Vivian Clark |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 11855 Parkgate Dr, Nokesville, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699528117
- Provider Enumeration Date: 04/08/2024
- Last Update Date: 05/29/2024
Medical Identifiers
Medical identifiers for Vivian Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699528117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 0024189931 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vivian Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vivian Clark, FNP-BC
11855 Parkgate Dr,
Nokesville, VA 20181-2719
Ph: (571) 379-1228 | Vivian Clark, FNP-BC
11855 Parkgate Dr,
Nokesville, VA 20181-2719
Ph: (571) 379-1228 |
Reviews and Comments