Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407903693 Individual Practitioner Male Practitioner

Mark Allen Clark

Nurse Practitioner - Pediatrics • Fredericksburg, VA

Professional Overview & Biography Verified Profile Summary

Mark Clark is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Fredericksburg, VA. Practice services are available at 111 PARK HILL DR # A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Park Hill Dr # A

Fredericksburg, VA 224013357

Telephone 5403681044
Associated Practice Facility / Clinic
🏢 Century Pediatrics Inc. Facility NPI 1558428953

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Fredericksburg, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Fredericksburg, VA (606 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License VA 0024166868

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 07, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2012

Registered at 111 PARK HILL DR # A, FREDERICKSBURG, VA 224013357 (Tel: 5403681044)

📍
Updated Business Mailing Address November 07, 2012

Registered at 22445 CONSERVANCY DR, ASHBURN, VA 201488068 (Tel: 5403681044)

👤
Provider Name / Credentials Updated November 07, 2012

Recorded as MARK CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2012

Nurse Practitioner (License #0024166868 in VA)

🟢
Initial NPI Registration & Enumeration January 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407903693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2007
Last Update: November 07, 2012
Sole Proprietor: No

Mailing Address

22445 Conservancy Dr

Ashburn, VA 201488068

Phone: 5403681044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.