Individual provider · Type 1 NPI

Ronald Brandon Clark, FNP

Nurse Practitioner · Slidell, LA

NPI number 1467723668 Active

Practice location

971 Robert Blvd
Slidell, LA 70458-2009

Mailing address

162 Tchefuncte Parc Dr
Madisonville, LA 70447-9759

Other practice locations

  • 52579 US-51, Independence, LA 70443 · (985) 878-9421

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XR851752 (MS)
Nurse Practitioner Primary 363L00000XAP07081 (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 1467723668

Ronald Brandon Clark, FNP's National Provider Identifier is 1467723668, issued on Jan 19, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Slidell, LA. The record was last updated on Jul 9, 2025.