Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Clark, PA

Individual provider Physician Assistant · NPI 1598205742

Justin Clark, PA is a Physician Assistant in Washington, District of Columbia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1650 17th St NW
Washington, DC 20009-2434
Phone: (202) 814-6860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 0110008301 (VA)

Record details

NPI number1598205742
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 6, 2017
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

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