Individual provider · Type 1 NPI

Jadira Jannisse Clark

Licensed Practical Nurse · Rochester, NY

NPI number 1326913070 Active

Practice location

43 Murray St
Rochester, NY 14606-1119

Call (585) 309-6803 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X337643 (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 1326913070

Jadira Jannisse Clark's National Provider Identifier is 1326913070, issued on Oct 10, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Oct 10, 2025.