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

Tyia Shay Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124523188

Tyia Shay Clark is a Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Winston Salem, NC

Additional practice locations (1)

  • 6602 Knightdale Blvd Ste 204, Knightdale, NC 27545-6567 — (919) 782-5273

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2021-01599 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124523188
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

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