Individual provider · Type 1 NPI
Shardae Clark
Licensed Practical Nurse · Newport, MI
NPI number
1295103570
Active
Practice location
4127 Stone Post Rd
Newport, MI 48166-7830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4708311201 (MI) |
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.
Other licensed practical nurse providers in Newport
About NPI 1295103570
Shardae Clark's National Provider Identifier is 1295103570, issued on Sep 3, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Newport, MI. The record was last updated on Sep 3, 2015.