Individual provider · Type 1 NPI

Ann Marie Clack, WHNP

Women's Health Nurse Practitioner · Monroe, LA

NPI number 1023689486 Active

Practice location

4864 Jackson St
Monroe, LA 71202-6400

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Specialties and licenses

TaxonomyCodeLicense
Maternal Newborn Registered Nurse 163WM0102XRN122544 (LA)
Women's Health Nurse Practitioner Primary 363LW0102X214452 (LA)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1023689486

Ann Marie Clack, WHNP's National Provider Identifier is 1023689486, issued on Jul 7, 2021. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Monroe, LA. The record was last updated on Oct 6, 2021.