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IndividualActive

Theresa Clark

Registered Nurse - Medical-Surgical

NPI: 1104079839Pineville, Louisiana, 71360(318) 473-0010Female

About Theresa Clark

Theresa Clark is a female healthcare professional specializing in Registered Nurse - Medical-Surgical with a focus on Medical-Surgical, registered under National Provider Identifier (NPI) number 1104079839.

Their primary practice is located at 2495 SHREVEPORT HWY, Pineville, Louisiana 71360. Patients can reach the office at (318) 473-0010. Theresa Clark has been NPI-registered since 2008.

Doctor Details

Identity & Credentials

NPI Number
1104079839
Entity Type
Individual
First Name
Theresa
Last Name
Clark
Gender
Female
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
2495 SHREVEPORT HWY
City
Pineville
State
Louisiana
ZIP
71360-4044
Country
United States
Phone
(318) 473-0010

Specialty & Taxonomy

Primary Specialty
Registered Nurse - Medical-Surgical
Classification
Registered Nurse
Specialization
Medical-Surgical
Taxonomy Code
163WM0705X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
107 BOUNDARY DR
City
WOODWORTH
State
LA
ZIP
714859719

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Theresa Clark's NPI number?
Theresa Clark's National Provider Identifier (NPI) is 1104079839. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Theresa Clark specialize in?
Theresa Clark specializes in Registered Nurse - Medical-Surgical.
Where is Theresa Clark located?
Theresa Clark practices at 2495 SHREVEPORT HWY, Pineville, Louisiana 71360. You can reach them by phone at (318) 473-0010.
Does Theresa Clark accept Medicare?
Based on available data, Theresa Clark is not currently enrolled in the Medicare program.
Does Theresa Clark offer telehealth or virtual visits?
Theresa Clark does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Theresa Clark is 1104079839.