Clark, Laura Ann

Clark, Laura Ann is an individual health care provider with primary practice located at 1 Childrens Way # 653 , Little Rock AR 72202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Laura Ann can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
1 Childrens Way # 653 Little Rock AR 72202
Phone: (501) 364-1100
Fax: (501) 364-2963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A01827 Arkansas

Profile Details

NPI number 1336227875
LBN Legal business name Clark, Laura Ann
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 30th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336227875 NPPES
Other A01827 TRICARE

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