Doctor profile · Federal record
Dr. Mark Clark
Pediatric Nurse Practitioner · Fredericksburg, VA
- NPI 1407903693
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
111 Park Hill Dr # A
Fredericksburg, VA 224013357
(540) 368-1044 - Mailing address
-
22445 Conservancy Dr
Ashburn, VA 201488068
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- November 7, 2012
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Virginia #0024166868
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407903693. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, Inc. | 1 | $19.09 |
By nature of payment
Frequently asked questions
What is Dr. Mark Clark's medical specialty?
Dr. Mark Clark practices Pediatric Nurse Practitioner in Fredericksburg, VA.
Where does Dr. Mark Clark practice?
Dr. Mark Clark practices at 111 Park Hill Dr # A, Fredericksburg, VA 224013357. Office phone: 5403681044.
What is Dr. Mark Clark's NPI?
Dr. Mark Clark's National Provider Identifier (NPI) is 1407903693, issued by NPPES.