Individual provider · Type 1 NPI

Shanna G. Clark, LPN

Licensed Practical Nurse · Fort Edward, NY

NPI number 1831442698 Active · reactivated Oct 28, 2020

Practice location

130 White Birch Est
Fort Edward, NY 12828-9275

Other practice locations

  • 357 Milton Ave, Ballston Spa, NY 12020-1441 · (518) 491-2806

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X277227 (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 1831442698

Shanna G. Clark, LPN's National Provider Identifier is 1831442698, issued on Oct 18, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Edward, NY. The record was last updated on Oct 28, 2020.