NPI 1699236794 · live from the CMS NPI Registry
Karrah Clark, APRN
Nurse Practitioner, Pediatrics in Tallulah, LA. National Provider Identifier 1699236794, active.
NPI record
| NPI | 1699236794 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 804 N Beech St, Tallulah, LA 71282 |
| Practice phone | 318-574-1453 |
| Mailing address | 1154 Southfield Cutoff, El Dorado, AR 71730 |
| Enumerated | March 29, 2019 |
| Last updated | March 29, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 204406 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.