Individual provider · Type 1 NPI

Eric B. Clark Jr.

Nurse's Aide · Omaha, NE

NPI number 1104711183 Active

Practice location

670 S 69th St
Omaha, NE 68106-1004

Fax (402) 612-8805

Mailing address

4060 Vinton St Ste 100
Omaha, NE 68105-3863

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XNone listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1104711183

Eric B. Clark Jr.'s National Provider Identifier is 1104711183, issued on Jun 10, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Omaha, NE. The record was last updated on Jun 10, 2025.