LAURA KAY CLARK FNP-BC APRN NPI 1114029238

NPI Information

NPI: 1114029238
Provider Name: LAURA KAY CLARK, FNP-BC, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
#4 HOSPITAL DRIVE
ST. VINCENT MORRILTON HOSPITAL
MORRILTON, AR
ZIP 72110
Phone: (501) 977-2300
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Laura Kay Clark, FNP-BC, APRN is a family nurse practitioner in Morrilton, AR with 20 years of experience. Laura Kay Clark, FNP-BC, APRN NPI is 1114029238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

#4 HOSPITAL DRIVE
ST. VINCENT MORRILTON HOSPITAL
MORRILTON, AR
ZIP 72110-510
Phone: (501) 977-2300
Fax: (501) 977-2341

The NPI 1114029238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 10/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A001810	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E78213	MEDICARE UPIN	ARKANSAS
2	117992003	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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