person
Rebecca S. Clark, FNP
Family Nurse Practitioner in Minden, Louisiana
NPI 1891987343

Rebecca S. Clark is a Family Nurse Practitioner based in Shreveport, LA and is specialized in Family. Rebecca S. Clark practices in Minden, LA and has the professional credentials of FNP. The NPI Number for Rebecca S. Clark is 1891987343 and holds a License No. AP05233 (Louisiana).

The current practice location address for Rebecca S. Clark is 10600 Industrial Dr, Minden, LA and can be reached out via phone at 318-798-4616 and via fax at 318-798-4619.

Location: 10600 Industrial Dr, Minden, LA, 71105-5634
person
Provider Profile Details
NPI Number
1891987343
Provider Name
Rebecca S. Clark
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
10600 Industrial Dr, Minden, LA, 71105-5634
Phone Number
318-798-4616
Fax Number
318-798-4619
Provider Enumeration Date
08/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1362484 05 LA
institution
Provider Business Practice Location Address Details
Address
10600 Industrial Dr
City
State
Zip
71055-5105
Phone Number
318-798-4616
Fax Number
318-798-4619
person
Provider Business Mailing Address Details
Address
10600 Industrial Dr
City
State
Zip
71055-5105
Phone Number
318-798-4616
Fax Number
318-798-4619
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP05233 (Louisiana)
Definition
Definition to come...
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