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

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X248896 (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.