Individual provider · Type 1 NPI
Jacquelyn Irene Clark, LPN
Licensed Practical Nurse · Sardis, OH
NPI number
1467503334
Active
Practice location
48696 Benwood Rd
Sardis, OH 43946-9638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN091690 (OH) |
| Licensed Practical Nurse | 164W00000X | 12185 (WV) |
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.
About NPI 1467503334
Jacquelyn Irene Clark, LPN's National Provider Identifier is 1467503334, issued on Jan 16, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sardis, OH. The record was last updated on Jul 8, 2007.