Individual provider · Type 1 NPI
Donna Rae Clark, L.P.N.
Licensed Practical Nurse · Ravenna, OH
NPI number
1982059978
Active
Practice location
3097 Pondview Dr
Ravenna, OH 44266-9051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN052456-MEDS (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 1982059978
Donna Rae Clark, L.P.N.'s National Provider Identifier is 1982059978, issued on Apr 27, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ravenna, OH. The record was last updated on Apr 27, 2016.