Individual
MELISSA RENEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(301) 466-3262
Mailing address
3616 STEPHENSONS HILL LN, MARSHALL, VA 20115-3783
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024192595
VA
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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