Renna Clark, NURSEPRACTITIONER
Renna Clark, NURSEPRACTITIONER is a Nurse Practitioner in Stafford, Virginia. Graduated from Kent State University College of Podiatric Medicine in 2022, 4 years ago. Practices with Mary Washington Healthcare Physicians, a 287-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 4
- Trained at
- Kent State University College of Podiatric Medicine
- Licensed in
- VA
- In the registry since
- 2022
Practice location Address checks out
955 E Wonder RdStafford, VA 22554
Phone: (540) 741-7893
Fax: (540) 741-9778
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3775 Fettler Park Dr Unit A5, Dumfries, VA 22025-1946 — (703) 441-3555
Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X · Licence 0024184881 (VA) |
|---|
Record details
| NPI number | 1992428361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | September 21, 2022 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 16, 2025 |
| Mailing address | 3775 Fettler Park Dr Unit A5, Dumfries, VA 22025-1946 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Group practice | Mary Washington Healthcare Physicians — 287 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |