Individual provider · Type 1 NPI
Samantha Fennella Clarke
Licensed Practical Nurse · Bayonne, NJ
NPI number
1780068494
Active
Practice location
15 Isabella Ave Apt 3R
Bayonne, NJ 07002-4373
Mailing address
15 Isabella Ave Apt. 3R
Bayonne, NJ 07002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 248896 (NY) |
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 1780068494
Samantha Fennella Clarke's National Provider Identifier is 1780068494, issued on Jul 13, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bayonne, NJ. The record was last updated on Jul 13, 2015.