THERESA CLARK

Registered Nurse - Medical-Surgical

Active Individual
NPI: 1104079839

Practice Address

2495 SHREVEPORT HWY
Pineville, LA 71360

Phone: (318) 473-0010

Specialties

Specialty Code Primary License
Registered Nurse - Medical-Surgical 163WM0705X Yes 163WM0705X (LA)

Frequently Asked Questions

NPI 1104079839 is the National Provider Identifier for THERESA CLARK, a Registered Nurse - Medical-Surgical provider located in Pineville, LA. This NPI was enumerated on October 26, 2008.
THERESA CLARK practices at 2495 SHREVEPORT HWY, Pineville, LA 71360.

Quick Facts

NPI
1104079839
Type
Individual
Enumerated
Oct 26, 2008
Last Updated
Oct 26, 2008

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