Individual provider · Type 1 NPI

Crystal Dawn Clark, LPN

Licensed Practical Nurse · Wheelersburg, OH

NPI number 1942503198 Active

Practice location

28 B Miller Road
Wheelersburg, OH 45694-8103

Call (740) 285-6493 Map

Mailing address

PO Box 656
Wheelersburg, OH 45694-0656

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X142164 (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 1942503198

Crystal Dawn Clark, LPN's National Provider Identifier is 1942503198, issued on Dec 9, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wheelersburg, OH. The record was last updated on Oct 13, 2014.