ANN MARIE CLACK WHNP NPI 1023689486

NPI Information

NPI: 1023689486
Provider Name: ANN MARIE CLACK, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
4864 JACKSON ST
MONROE, LA
ZIP 71202
Phone: (318) 330-7000
Get Directions

Ann Marie Clack, WHNP is a women's health nurse practitioner in Monroe, LA with 4 years of experience. Ann Marie Clack, WHNP NPI is 1023689486. 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:

4864 JACKSON ST
MONROE, LA
ZIP 71202-400
Phone: (318) 330-7000

The NPI 1023689486 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 7/7/2021 and was last updated on 10/6/2021.

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	163WM0102X	Registered Nurse	Maternal Newborn	RN122544	LOUISIANA	No
2	363LW0102X	Nurse Practitioner	Women's Health	214452	LOUISIANA	Yes

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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