Individual
ANDERSON CLARK AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNPC
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4000
(318) 966-7359
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-4400
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP04485
LA
363LF0000X
Family Nurse Practitioner
Primary
RN094896 AP04485
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073580
—
LA
Enumeration date
07/07/2006
Last updated
02/22/2023
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