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

Keressa L. Clark, NP

Individual provider Family Nurse Practitioner · NPI 1346693868

Keressa L. Clark, NP is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2016, 10 years ago. Practices with Appalachian Regional Medical Associates Inc, a 149-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
10
Licensed in
TN, VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone: (423) 224-3701
Fax: (423) 224-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21571 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024173732 (VA)

Record details

NPI number1346693868
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESSeptember 14, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Appalachian Regional Medical Associates Inc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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