NPI 1003250663

Jenatte Virginia Clark, ARNP

Practitioner Dermatology Physician Yakima, WA

Practice location

Address: 4209 Tieton Dr STE 102, Yakima, WA 98908-3377
Phone: (509) 654-9810
Fax: (509) 966-8812

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence AP60329890 (WA)

Other Dermatology providers in Washington →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence AP 60329890 (WA)

Other Nurse Practitioner providers in Washington →

Registry record

NPI: 1003250663
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2013
Record last updated: 10 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.