RENNA CLARK NURSE PRACTITIONER NPI 1992428361

NPI Information

  • NPI: 1992428361
  • Provider Name: RENNA CLARK, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 955 E WONDER RD
    STAFFORD, VA
    ZIP 22554
  • Phone: (540) 741-7893

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NPI Details

Renna Clark, NURSE PRACTITIONER is a women's health nurse practitioner in Stafford, VA with 4 years of experience. Renna Clark, NURSE PRACTITIONER NPI is 1992428361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2022

The provider's business location address is:

955 E WONDER RD
STAFFORD, VA
ZIP 22554
Phone: (540) 741-7893
Fax: (540) 741-9778

The NPI 1992428361 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2022 and was last updated on 1/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health0024184881VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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