DELANNA L CLARK, APRN, Acute Care LEBANON, KY

Contact Information

DELANNA L CLARK, APRN

3750 POPLAR CORNER RD
LEBANON, KY 40033-9620

Phone: 270-692-6336
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Acute Care	364SA2100X	89	Certified Clinical Nurse Specialist
Adult Health	364SA2200X	89	Certified Clinical Nurse Specialist
Chronic Care	364SC2300X	89	Certified Clinical Nurse Specialist
Community Health/Public Health	364SC1501X	89	Certified Clinical Nurse Specialist
Gerontology	364SG0600X	89	Certified Clinical Nurse Specialist
Holistic	364SH1100X	89	Certified Clinical Nurse Specialist
Home Health	364SH0200X	89	Certified Clinical Nurse Specialist
Long-Term Care	364SL0600X	89	Certified Clinical Nurse Specialist
Nurse Practitioner	363L00000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for DELANNA L CLARK · (Female)

NPI #	`1760855456`
Status	Active
Credentials	APRN (Advanced Practice Registered Nurse)
Entity	Individual
Enumeration date	11/04/2015
Last updated	08/29/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	KY License # 3009843 KY Medicaid 7100387970
Hospital affiliation(s)	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER - (Acute Care) 217 SOUTH THIRD STREET DANVILLE, KY 40422

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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