Individual
BRIDGET M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 487-1122
Mailing address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 487-1122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220984
LA
363LP2300X
Primary Care Nurse Practitioner
220984
LA
Other
Enumeration date
12/11/2021
Last updated
11/07/2025
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