Individual
MRS. ASHLEY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C, PMHNP-BC
Contact information
Practice address
2900 WESTFORK DR STE 401, BATON ROUGE, LA 70827-0004
(225) 255-0899
(225) 341-4345
Mailing address
PO BOX 1726, WALKER, LA 70785-1726
(225) 255-0899
(225) 341-4345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
122036
LA
363LF0000X
Family Nurse Practitioner
AP06868
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC005595
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP06868
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0100900-C-NP
CO
363LP2300X
Primary Care Nurse Practitioner
AP06868
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2308360
—
LA
Enumeration date
06/11/2009
Last updated
05/15/2024
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