Tabitha Rynn Clark, CNP - Nurse Practitioner in Arthurdale, WV

Tabitha Rynn Clark, CNP is a Nurse Practitioner - Primary Care based in Arthurdale, West Virginia. Tabitha Rynn Clark is licensed to practice in West Virginia (license number 112519) and her current practice location is 519 G Road, Arthurdale, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 864-0884.

NPI number for Tabitha Rynn Clark is 1124762695 and her current mailing address is 110 Williams St, Kingwood, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124762695.

Contact Information

Tabitha Rynn Clark, CNP
519 G Road,
Arthurdale, WV 26520
(304) 864-0884
Not Available



Provider's Profile

Full NameTabitha Rynn Clark
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location519 G Road, Arthurdale, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124762695
  • Provider Enumeration Date: 04/21/2022
  • Last Update Date: 09/29/2022

Medical Identifiers

Medical identifiers for Tabitha Rynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124762695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 112519 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tabitha Rynn Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tabitha Rynn Clark, CNP
110 Williams St,
Kingwood, WV 26537-1229

Ph: () -
Tabitha Rynn Clark, CNP
519 G Road,
Arthurdale, WV 26520

Ph: (304) 864-0884

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Nurse Practitioner Nurses in Arthurdale, WV


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