Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa Clark

Individual provider Medical-Surgical Registered Nurse · NPI 1104079839

Theresa Clark is a Medical-Surgical Registered Nurse in Pineville, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2008
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Practice location Address checks out

2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone: (318) 473-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 163WM0705X (LA)

Record details

NPI number1104079839
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2008
Last updated in NPPESOctober 26, 2008
Mailing address107 Boundary Dr, Woodworth, LA 71485-9719

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