Individual
ADRIENNE CLARK ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8080 MARGARET ANN AVE, BATON ROUGE, LA 70809-3444
(225) 765-8964
(225) 765-4363
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-8964
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08643
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP08643
STATE LICENSE
LA
Enumeration date
03/08/2016
Last updated
10/09/2023
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