Individual provider · Type 1 NPI

Macie M. Clark, LPN

Licensed Practical Nurse · Du Quoin, IL

NPI number 1497238612 Active

Practice location

1564 S Washington St
Du Quoin, IL 62832-3849

Mailing address

4241 Highway 14 W
Christopher, IL 62822-1037

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043125988 (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.

13 other providers at this address

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About NPI 1497238612

Macie M. Clark, LPN's National Provider Identifier is 1497238612, issued on Sep 13, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Du Quoin, IL. The record was last updated on Sep 13, 2018.