IndividualActive
Anissa Clark, RN
NPI 1114674645 · Case Management Registered Nurse · Roanoke, VA
Anissa Clark, RN is a Case Management Registered Nurse provider in Roanoke, VA (NPI 1114674645).
Provider details
- NPI number
- 1114674645
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 0001226621 (VA)
Practice location
929 Estates Rd Se
Roanoke, VA 24014-4307
Phone: (540) 676-4806
Street-level locationGet directions
Mailing address
929 Estates Rd Se
Roanoke, VA 24014-4307
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2022-03-04
- Certified
- 2022-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.