Ms. Kerry Clark

AGNP-BC | Nurse Practitioner | 10+ years Exp

4660 Kenmore Avenue, Suite 305 & 500, Alexandria
  Virginia, 22304-1306
703-988-4683
Accepts Medicare Nurse Anesthetist in Alexandria, Virginia.
Ms. Kerry Clark is a Alexandria, Virginia based nurse practitioner with 10 years of experience in . She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Kerry Clark is 0024178999 for Adult Health in Virginia. Her current practice location is 4660 Kenmore Avenue, Suite 305 & 500, Alexandria. Patients can reach her at 703-988-4683. Ms. Kerry Clark is AGNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1932575743.
Ms. Kerry Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Kerry Clark speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ms. Kerry Clark
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: AGNP-BC
Experience: 10+ years
Medical School Attended:Other
Graduation Year:2015
Accepts Medicare Assignment:Yes
Practice Address:4660 Kenmore Avenue, Suite 305 & 500, Alexandria,
Virginia, 22304-1306
Phone:703-988-4683
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3779891189
Enrollment ID: I20151005003071
NPI Number: 1932575743
NPI Enumeration Date: 15 Aug, 2015
NPI Last Update On: 06 Mar, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kerry Clark are as mentioned below.
License NumberSpecializationStateStatus
0024178999Adult Health VirginiaPrimary
RN1038780Internal Medicine District Of ColumbiaSecondary
0024178999Gerontology VirginiaSecondary
0024178999Primary Care VirginiaSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(090004)Washington, DCAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Ms. Kerry Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Medstar Medical Group Ii Llc (0547413825)1366
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kerry Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1932575743MedicaidVirginia
30016021870002MedicaidVirginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ms. Kerry Clark
224-d Cornwall St, Suite 403
Leesburg, Virginia
Zip: 20176-2704
Phone Number: 703-737-6010
Fax Number: 703-443-8643
Patients can reach Ms. Kerry Clark at 4660 Kenmore Avenue, Suite 305 & 500, Alexandria, Virginia or can call to book an appointment on 703-988-4683.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.