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

Tabitha Rynn Clark, CNP

Individual provider Primary Care Nurse Practitioner · NPI 1124762695

Tabitha Rynn Clark, CNP is a Nurse Practitioner in Arthurdale, West Virginia. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
5
Licensed in
WV
In the registry since
2022
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

519 G Rd
Arthurdale, WV 26520
Phone: (304) 864-0884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 112519 (WV)

Record details

NPI number1124762695
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address110 Williams St, Kingwood, WV 26537-1229

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount