VALARIE GOLDEN CLARK


Address: 441 Route 66, Dequincy, LA 70633-5315
Phone: 3373773111

VALARIE GOLDEN CLARK (NPI# 1285288951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285288951
Entity Type Individual
Full Name VALARIE GOLDEN CLARK
Credential NP
Practice Address 441 Route 66
Dequincy
LA 70633-5315
Practice Telephone 3373773111
Mailing Telephone 3373773111
Enumeration Date 2019-07-30
Last Update Date 2019-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
207541 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 441 ROUTE 66
City DEQUINCY
State LA
Zip Code 70633-5315

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City DEQUINCY
Zip Code 70633

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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