Individual provider · Type 1 NPI

Rachel Louise Clark

Licensed Practical Nurse · Shawnee, OK

NPI number 1871100255 Active

Practice location

781 Grand Casino Blvd
Shawnee, OK 74804-1005

Fax (405) 964-5788

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X60894 (OK)

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 1871100255

Rachel Louise Clark's National Provider Identifier is 1871100255, issued on Sep 29, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shawnee, OK. The record was last updated on Sep 29, 2020.