Individual provider · Type 1 NPI

Autumn Conley-Clark, LPN

Licensed Practical Nurse · Mansfield, OH

NPI number 1740990910 Active

Practice location

1025 S Trimble Rd
Mansfield, OH 44906-3427

Mailing address

2011 Willowood Ct
Ontario, OH 44906-1759

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.124514 (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 1740990910

Autumn Conley-Clark, LPN's National Provider Identifier is 1740990910, issued on Nov 29, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mansfield, OH. The record was last updated on Nov 29, 2022.