Individual provider · Type 1 NPI

Jacqueline Ruth Clark, LPN

Licensed Practical Nurse · Columbia Station, OH

NPI number 1407008287 Active

Practice location

26308 Crocker Rd
Columbia Station, OH 44028-9301

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN. 107698 (OH)

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 1407008287

Jacqueline Ruth Clark, LPN's National Provider Identifier is 1407008287, issued on Oct 13, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbia Station, OH. The record was last updated on Oct 13, 2008.