Organization
ELITECARE EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA R CLARK CNP (OWNER)
(304) 698-6081
Entity
Organization
Contact information
Practice address
1924 GRAFTON RD, MORGANTOWN, WV 26508-4712
(304) 698-6081
Mailing address
110 WILLIAMS ST, KINGWOOD, WV 26537-1229
(304) 698-6081
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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