Organization
CLICKCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATNENA LUSTER-TUCKER FNP (OWNER)
(901) 288-5200
Entity
Organization
Contact information
Practice address
117 AUTUMN CREEK DR, MADISONVILLE, LA 70447-3603
(901) 288-5200
Mailing address
117 AUTUMN CREEK DR, MADISONVILLE, LA 70447-3603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05600
LA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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