Individual provider · Type 1 NPI

Victor Vance Carlock, NP

Nurse Practitioner · Leesville, LA

NPI number 1396948402 Active

Practice location

1100 Nolan Trace
Leesville, LA 71446

Fax (318) 759-0828

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAP05193 (LA)
Nurse Practitioner Primary 363L00000XAP05193 (LA)
Family Nurse Practitioner 363LF0000XAP05193 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396948402

Victor Vance Carlock, NP's National Provider Identifier is 1396948402, issued on Jun 6, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Leesville, LA. The record was last updated on May 20, 2025.