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

Tara Clark

Individual provider Family Nurse Practitioner · NPI 1033703061

Tara Clark is a Nurse Practitioner in Stafford, Virginia. Graduated from Georgetown University School of Medicine in 2019, 7 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
7
Trained at
Georgetown University School of Medicine
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

422 Garrisonville Rd Ste 102
Stafford, VA 22554-1573
Phone: (540) 657-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6315 Wendover Ct, Fredericksburg, VA 22407-5061 — (386) 898-4714

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024180221 (VA)

Record details

NPI number1033703061
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2021
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address6315 Wendover Ct, Fredericksburg, VA 22407-5061

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Mary Washington Healthcare Physicians — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stafford