Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Na'Zae Athena Clark, PA-C

Individual provider Medical Physician Assistant · NPI 1174234223

Na'Zae Athena Clark, PA-C is a Physician Assistant in Newport News, Virginia. Graduated from Eastern Virginia Medical School in 2023, 3 years ago. Licensed in Virginia.

Years since qualifying
3
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2022
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

680 Oyster Point Rd Ste 200
Newport News, VA 23606-4570
Phone: (757) 668-4851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110009412 (VA)

Record details

NPI number1174234223
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2022
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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