Individual
MISS STEPHANIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
1800 VALMONT ST, MANDEVILLE, LA 70448-3857
(318) 458-1144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10144
LA
Other
Enumeration date
07/19/2018
Last updated
06/11/2025
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