Individual
LAURA KAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, APRN
Contact information
Practice address
#4 HOSPITAL DRIVE, ST. VINCENT MORRILTON HOSPITAL, MORRILTON, AR 72110-4510
(501) 977-2300
(501) 977-2341
Mailing address
#4 HOSPITAL DRIVE, ST. VINCENT MORRILTON HOSPITAL, MORRILTON, AR 72110-4510
(501) 977-2300
(770) 874-5483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A001810
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117992003
—
AR
Enumeration date
09/01/2006
Last updated
10/11/2017
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