Individual provider · Type 1 NPI
Erica Dominique Clack
Licensed Vocational Nurse · San Augustine, TX
Practice location
406 E Planters St
San Augustine, TX 75972-2140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | 319226 (TX) |
Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…
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About NPI 1639734502
Erica Dominique Clack's National Provider Identifier is 1639734502, issued on May 7, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Augustine, TX. The record was last updated on May 7, 2019.