Individual
TIFFANY CHERELLE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
(757) 917-5141
Mailing address
4321 SALT MARSH LN, CHESAPEAKE, VA 23324-1473
(757) 589-3033
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024176015
VA
Other
Enumeration date
06/01/2018
Last updated
03/06/2020
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