Clark, Delanna Leigh

Clark, Delanna Leigh is an individual health care provider with primary practice located at 3750 Poplar Corner Rd , Lebanon KY 40033-9620. She recently has 9 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health, Physician Assistants & Advanced Practice Nursing Providers / Chronic Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Holistic, Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Clark, Delanna Leigh can be contacted via phone (270) 692-6336.

Contact Information

Primary practice address
3750 Poplar Corner Rd Lebanon KY 40033-9620
Phone: (270) 692-6336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3009843 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 3009843 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health 364SC1501X 3009843 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Chronic Care 364SC2300X 3009843 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 3009843 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Home Health 364SH0200X 3009843 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Holistic 364SH1100X 3009843 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care 364SL0600X 3009843 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 3009843 Kentucky

Profile Details

NPI number 1760855456
LBN Legal business name Clark, Delanna Leigh
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2015
Last updated Aug 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760855456 NPPES
Kentucky MEDICAID 7100387970

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