Individual
NANCY CLEARKIN GERMANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1860 FAIRFIELD AVE, SHREVEPORT, LA 71101-4431
(318) 675-1313
(318) 675-1319
Mailing address
1860 FAIRFIELD AVE, SHREVEPORT, LA 71101-4431
(318) 675-1313
(318) 675-1319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
020120
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1388149
—
LA
Enumeration date
06/25/2006
Last updated
07/14/2021
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