Jacquelyn Irene Clark in Sardis - Licensed Practical Nurse
Jacquelyn Irene Clark - NPI 1467503334
Jacquelyn Irene Clark is a Licensed Practical Nurse in Sardis, Ohio. Jacquelyn Irene Clark practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Jacquelyn Irene Clark is 1467503334. The last update date is 2007-07-08.
Jacquelyn Irene Clark's current location address is 48696 Benwood Rd, Sardis, Ohio. You can contact this provider via phone number 7404832249. The mailing address for Jacquelyn Irene Clark is 48696 Benwood Rd, Sardis, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Irene Clark |
|---|---|
| Address | 48696 Benwood Rd, Sardis, Ohio |
| Phone Number | 7404832249 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1467503334 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 48696 Benwood Rd |
|---|---|
| City | Sardis |
| State | Ohio (OH) |
| Post Code | 439469638 |
| Phone Number | 7404832249 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN091690 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2564130 | OH | -- |
Post Comment/ Review Below
What is the Jacquelyn Irene Clark's 1467503334?
The Jacquelyn Irene Clark's NPI (National Provider Identifier) Number is 1467503334. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jacquelyn Irene Clark's facilities are situated?
The facilities of Jacquelyn Irene Clark are physically located at the following address: 48696 Benwood Rd, Sardis, OH, 439469638.
What is Jacquelyn Irene Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacquelyn Irene Clark is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.
When did the Jacquelyn Irene Clark receive its 1467503334?
The Jacquelyn Irene Clark was issued its 1467503334 on 2007-01-16, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jacquelyn Irene Clark most recently updated or revised?
The details related to Jacquelyn Irene Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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