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

Venecia Bridgette Clark

Individual provider Primary Care Nurse Practitioner · NPI 1982169728

Venecia Bridgette Clark is a Primary Care Nurse Practitioner in Tukwila, Washington. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

6450 Southcenter Blvd Ste 102
Tukwila, WA 98188-2552
Phone: (206) 721-6170
Show map & directions

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

Additional practice locations (1)

  • 3250 Fledgling Cir, Woodbridge, VA 22193-1136 — (931) 216-0922

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2020092069 (TN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 24257 (TN)

Record details

NPI number1982169728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2019
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address5455 65th Ave S, Tukwlia, WA 98188

Other providers in Tukwila