IndividualActive
Adrian Clark
NPI 1942832662 · Licensed Practical Nurse · South Prince George, VA
Provider details
- NPI number
- 1942832662
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0002078009 (VA)
Specialties & taxonomies
Nursing Service Providers
Practice location
10543 S Crater Rd
South Prince George, VA 23805-7333
Phone: (804) 431-5585
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3601
Petersburg, VA 23805-3601
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2020-02-11
- Certified
- 2020-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.