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THERESA CLARK
NPI 1104079839
Registered Nurse - Medical-Surgical in Pineville, LA

Active since October 26, 2008
2495 SHREVEPORT HWY, PINEVILLE, LA 71360(318) 473-0010 Get Directions Write a Review

NPPES record last updated: October 26, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Theresa Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA CLARK (NPI 1104079839) is an individual medical-surgical provider in Pineville, Louisiana, licensed in Louisiana (163WM0705X) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1104079839
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameTHERESA CLARK
Location Address2495 SHREVEPORT HWYPineville, LA 71360-4044
Mailing Address107 Boundary DrWoodworth, LA 71485-9719
Phone(318) 473-0010
Sole ProprietorYes
Enumeration DateOctober 26, 2008
✔ NPI 1104079839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in LA · 163WM0705X
2495 SHREVEPORT HWY, Pineville, LA 71360
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER JOANE OATES LCSW
Social Worker
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 466-4105
MS. CAROLYN H. FORCH
Rehabilitation Counselor
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
DR. RANDY SCOTT FAECHER D.M.D.
Dentist
2495 SHREVEPORT HWY, DENTAL SERVICE, ALEXANDRIA VA HEALTHCARE SYSTEM
PINEVILLE, LA 71360
Rapides Parish (318) 466-2567
MR. MICHAEL ROACH LCSW
Social Worker (Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
MR. JOHNNY KEITH EUBANKS
Pharmacist
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
MRS. MONICA P NOBLES P.T.
Physical Therapist
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
GILDA MARIE JEFFERSON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 466-2575
DR. LALITHA ALLA MD
Psychiatry & Neurology (Psychiatry)
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Clark's NPI number?

The NPI number for Theresa Clark is 1104079839. It was assigned to this individual provider in the NPPES registry on October 26, 2008.

Where is Theresa Clark located?

Theresa Clark practices at 2495 Shreveport Hwy, Pineville, LA 71360. The listed phone number is (318) 473-0010.

What is Theresa Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Theresa Clark was last updated on October 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.