Individual provider · Type 1 NPI

Sarah Maddox-Clark

Licensed Practical Nurse · Grand Island, NE

NPI number 1053222190 Active

Practice location

1811 W 2nd St Ste LL200
Grand Island, NE 68803-5420

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X24259 (NE)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1053222190

Sarah Maddox-Clark's National Provider Identifier is 1053222190, issued on Sep 16, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Island, NE. The record was last updated on Sep 16, 2026.