Clack, Ann Marie

Clack, Ann Marie is an individual health care provider with primary practice located at 4864 Jackson St , Monroe LA 71202-6400. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Clack, Ann Marie can be contacted via phone (318) 330-7000.

Contact Information

Primary practice address
4864 Jackson St Monroe LA 71202-6400
Phone: (318) 330-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X RN122544 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 214452 Louisiana

Profile Details

NPI number 1023689486
LBN Legal business name Clack, Ann Marie
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2021
Last updated Oct 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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