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Individual

DR. CHIMERE L CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, WHNP-BC

Contact information

Practice address
2601 COLLEY AVE STE 2A, NORFOLK, VA 23517-1131
(757) 861-9812
(757) 861-9449
Mailing address
2601 COLLEY AVE STE 2A, NORFOLK, VA 23517-1131
(757) 861-9814
(757) 861-9449

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0017141498
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-010
TRICARE/CHAMPUS
VA
01
10129497N
OPTIMA HEALTH
VA
01
1245656958
VIRGINIA PREMIER HEALTH PLAN
VA
05
1245656958
NC
05
1245656958
VA
01
PAR
CORVEL
VA
Enumeration date
03/06/2014
Last updated
02/24/2026
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