Individual provider · Type 1 NPI

Charlotte A. Clark

Licensed Practical Nurse · Mount Sterling, IL

NPI number 1316298797 Active

Practice location

700 SE Cross St
Mount Sterling, IL 62353-1561

Fax (217) 773-2425

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043.070144 (IL)

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 1316298797

Charlotte A. Clark's National Provider Identifier is 1316298797, issued on Sep 26, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mount Sterling, IL. The record was last updated on Sep 26, 2012.