Individual provider · Type 1 NPI

Carol Jean Clarke, OA, LPN

Licensed Practical Nurse · Burnsville, MN

NPI number 1245579077 Active

Practice location

1000 W 140th St, Suite 201
Burnsville, MN 55337-4480

Fax (952) 808-3001

Mailing address

4200 Dahlberg Dr, Suite 300
Golden Valley, MN 55422-4840

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL 12777-6 (MN)

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 1245579077

Carol Jean Clarke, OA, LPN's National Provider Identifier is 1245579077, issued on Feb 14, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Burnsville, MN. The record was last updated on Feb 14, 2013.