VENECIA BRIDGETTE CLARK
NPI 1982169728
Nurse Practitioner - Psychiatric/Mental Health in Tukwila, WA
About Venecia Bridgette Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VENECIA BRIDGETTE CLARK (NPI 1982169728) is an individual psychiatric/mental health provider in Tukwila, Washington, licensed in Tennessee (2020092069) and active in the NPI registry since February 2019. She maintains a secondary practice location in Woodbridge.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUKWILA, WA 98188
TUKWILA, WA 98188
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Venecia Clark's NPI number?
The NPI number for Venecia Clark is 1982169728. It was assigned to this individual provider in the NPPES registry on February 6, 2019.
Where is Venecia Clark located?
Venecia Clark practices at 6450 Southcenter Blvd Ste 102, Tukwila, WA 98188. The listed phone number is (206) 721-6170.
What is Venecia Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
When was this NPI record last updated?
The NPPES record for Venecia Clark was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Venecia Bridgette Clark · NPI 1982169728
Psychiatric/Mental Health physician in Tukwila, Washington. Individual provider, active in the CMS NPPES registry since February 6, 2019.
## Identity
- **NPI:** 1982169728 (Entity type: Individual)
- **Enumerated:** February 6, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2020092069 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 6450 SOUTHCENTER BLVD STE 102, Tukwila, WA 98188-2552
- **Phone:** (206) 721-6170
## Record status
- **NPPES last updated:** March 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1982169728) · Data from the CMS NPPES public registry.