Clark, Venecia Bridgette

Clark, Venecia Bridgette is an individual health care provider with primary practice located at 6450 Southcenter Blvd Ste 102 , Tukwila WA 98188-2552. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clark, Venecia Bridgette can be contacted via phone (206) 721-6170.

Contact Information

Primary practice address
6450 Southcenter Blvd Ste 102 Tukwila WA 98188-2552
Phone: (206) 721-6170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 24257 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2020092069 Tennessee

Profile Details

NPI number 1982169728
LBN Legal business name Clark, Venecia Bridgette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2019
Last updated Mar 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers