Individual provider · Type 1 NPI

Melissa Ann Clark, LPN

Licensed Practical Nurse · Syracuse, NY

NPI number 1114160199 Active

Practice location

113 Cheney St
Syracuse, NY 13207

Call (315) 478-9463 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X291875 (NY)

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 1114160199

Melissa Ann Clark, LPN's National Provider Identifier is 1114160199, issued on Apr 7, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Apr 7, 2009.