Individual provider · Type 1 NPI

Stephanie Clark

Licensed Practical Nurse · Rochester, NY

NPI number 1306486444 Active

Practice location

636 Clay Ave Uppr
Rochester, NY 14613-1030

Call (716) 208-4601 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X335764-01 (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 1306486444

Stephanie Clark's National Provider Identifier is 1306486444, issued on Jan 7, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Jan 7, 2020.