Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristin Marie Jerome Clark, PA-C

Individual provider Physician Assistant · NPI 1528291069

Mrs. Kristin Marie Jerome Clark, PA-C is a Physician Assistant in Woodbridge, Virginia. Qualified in 2008, 18 years ago. Practices with Inova Health Care Services, a 1,827-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
18
Licensed in
VA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14010 Smoketown Rd Ste 117
Woodbridge, VA 22192-4704
Phone: (718) 920-6656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110003441 (VA)

Record details

NPI number1528291069
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 1, 2009
Last updated in NPPESApril 6, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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