Individual
ADRIENNE JENKINS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
10053 FLORIDA BLVD UNIT 627, WALKER, LA 70785-5097
(225) 335-4085
Mailing address
PO BOX 627, WALKER, LA 70785-0627
(225) 335-4085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213822
LA
Other
Enumeration date
06/23/2020
Last updated
06/29/2020
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