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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIJO CLARK, LPN

Active Sole Proprietor

JENNIJO CLARK, LPN is a Licensed Practical Nurse healthcare provider located in OSHKOSH, Wisconsin. NPI 1265734354 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · OSHKOSH, WI

Registration Details

NPI Number
1265734354
Provider Type
Individual
Gender
Female
NPI Issued
Nov 23, 2010 (15.691022205859 yrs)
Last Updated
Nov 23, 2010
License
313347-31 (WI)
Sole Proprietor
Yes

Practice Information

Address
402 W SOUTH PARK AVE
OSHKOSH, WI, 549026569
Browse WI providers · Browse ZIP 54902
Phone
9202039055
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in OSHKOSH, WI

Name Credential NPI
BRIAN ONEILL JOHNSON LPN 1982880662
DIANE MARY HERZIG L.P.N. 1942457114
MATTHEW BRITTNACHER 1871912840
YER LOR 1912396169
CRYSTAL KAYE ALDERSON LPN 1326505918
BRITTNEY GAIL HAMILTON LPN 1063093524
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.