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

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

Practice location Address checks out

2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone: (318) 473-0010
Show map & directions

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

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