Individual
KARRAH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
804 N BEECH ST, TALLULAH, LA 71282-3809
(318) 574-1453
Mailing address
1154 SOUTHFIELD CUTOFF, EL DORADO, AR 71730-3451
(870) 562-3392
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
204406
LA
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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