Individual provider · Type 1 NPI

Nicole Christine Clark, LPN

Licensed Practical Nurse · Syracuse, NY

NPI number 1982767604 Active

Practice location

241 Lorraine Ave
Syracuse, NY 13210-3229

Call (315) 863-5885 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X251148-1 (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 1982767604

Nicole Christine Clark, LPN's National Provider Identifier is 1982767604, issued on Dec 18, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 9, 2007.