Provider Type Icon

MRS. ASHLEY DANIELLE CLARK APRN NP-C PMHNP-BC NPI 1548497084


NPI Information

NPI: 1548497084
Provider Name: MRS. ASHLEY DANIELLE CLARK, APRN, NP-C, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2900 WESTFORK DR STE 401
BATON ROUGE, LA
ZIP 70827
Phone: (225) 255-0899
Get Directions

MRS. Ashley Danielle Clark, APRN, NP-C, PMHNP-BC is a psychiatric/mental health nurse practitioner in Baton Rouge, LA. MRS. Ashley Danielle Clark, APRN, NP-C, PMHNP-BC NPI is 1548497084. 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:

2900 WESTFORK DR STE 401
BATON ROUGE, LA
ZIP 70827-004
Phone: (225) 255-0899
Fax: (225) 341-4345

The NPI 1548497084 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 6/11/2009 and was last updated on 4/13/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse122036LOUISIANANo
2363LF0000XNurse PractitionerFamilyAP06868LOUISIANANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthC-APN.0100900-C-NPCOLORADONo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthAC005595MARYLANDNo
5363LP2300XNurse PractitionerPrimary CareAP06868LOUISIANANo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthAP06868LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12308360MEDICAIDLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.