person
Theresa Clark
Medical-Surgical Registered Nurse in Pineville, Louisiana
NPI 1104079839

Theresa Clark is a Medical-Surgical Registered Nurse based in Woodworth, LA and is specialized in Medical-Surgical. Theresa Clark practices in Pineville, LA. The NPI Number for Theresa Clark is 1104079839 and holds a License No. 163WM0705X (Louisiana).

The current practice location address for Theresa Clark is 2495 Shreveport Hwy, Pineville, LA and can be reached out via phone at 318-473-0010. You can also correspond with Theresa Clark through the mailing address at 107 BOUNDARY DR, WOODWORTH, LA - 71485-9719 (mailing address contact number: ).

Location: 2495 Shreveport Hwy, Pineville, LA, 71485-9719
person
Provider Profile Details
NPI Number
1104079839
Provider Name
Theresa Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
2495 Shreveport Hwy, Pineville, LA, 71485-9719
Phone Number
318-473-0010
Fax Number
Provider Enumeration Date
10/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2495 Shreveport Hwy
City
State
Zip
71360-4044
Phone Number
318-473-0010
Fax Number
person
Provider Business Mailing Address Details
Address
107 Boundary Dr
City
State
Zip
71485-9719
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
163WM0705X (Louisiana)
Definition
Definition to come...
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