Individual provider · Type 1 NPI

Jennijo Clark, LPN

Licensed Practical Nurse · Oshkosh, WI

NPI number 1265734354 Active

Practice location

402 W South Park Ave
Oshkosh, WI 54902-6569

Call (920) 203-9055 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X313347-31 (WI)

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 1265734354

Jennijo Clark, LPN's National Provider Identifier is 1265734354, issued on Nov 23, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oshkosh, WI. The record was last updated on Nov 23, 2010.