Clark, Jenatte Virginia

Clark, Jenatte Virginia is an sole proprietor health care provider with primary practice located at 4209 Tieton Dr Ste 102 , Yakima WA 98908-3377. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Clark, Jenatte Virginia can be contacted via phone (509) 654-9810.

Contact Information

Primary practice address
4209 Tieton Dr Ste 102 Yakima WA 98908-3377
Phone: (509) 654-9810
Fax: (509) 966-8812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP 60329890 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X AP60329890 Washington

Profile Details

NPI number 1003250663
LBN Legal business name Clark, Jenatte Virginia
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2013
Last updated Nov 10th, 2021 - about 3 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.

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