Edna Michelle Clark in Hinesville - Licensed Practical Nurse
Edna Michelle Clark - NPI 1114918158
Edna Michelle Clark is a Licensed Practical Nurse in Hinesville, Georgia. Edna Michelle Clark practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Edna Michelle Clark is 1114918158. The last update date is 2007-07-08.
Edna Michelle Clark's current location address is 635 Slade St, Hinesville, Georgia. You can contact this provider via phone number 9123682107. The mailing address for Edna Michelle Clark is 635 Slade St, Hinesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edna Michelle Clark |
|---|---|
| Address | 635 Slade St, Hinesville, Georgia |
| Phone Number | 9123682107 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1114918158 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 635 Slade St |
|---|---|
| City | Hinesville |
| State | Georgia (GA) |
| Post Code | 313133941 |
| Phone Number | 9123682107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LPN047051 |
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Definition: 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 r |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edna Michelle Clark by the Centers for Medicare & Medicaid Services?
The Edna Michelle Clark has been issued the NPI (National Provider Identifier) 1114918158, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edna Michelle Clark is located?
The Edna Michelle Clark is situated at the following address: 635 Slade St, Hinesville, GA, 313133941.
What is the Edna Michelle Clark's specialty and taxonomy code?
The Edna Michelle Clark's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114918158 to Edna Michelle Clark?
The Edna Michelle Clark received its 1114918158 assignment from the Centers for Medicare & Medicaid Services on 2005-10-31.
When was the information regarding Edna Michelle Clark most recently updated?
The details pertaining to the Edna Michelle Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.