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

MRS. JACQUELINE RUTH CLARK, LPN

Active Sole Proprietor

MRS. JACQUELINE RUTH CLARK, LPN is a Licensed Practical Nurse healthcare provider located in COLUMBIA STATION, Ohio. NPI 1407008287 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · COLUMBIA STATION, OH

Registration Details

NPI Number
1407008287
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2008 (17.835036941211 yrs)
Last Updated
Oct 13, 2008
License
PN. 107698 (OH)
Sole Proprietor
Yes

Practice Information

Address
26308 CROCKER RD
COLUMBIA STATION, OH, 440289301
Browse OH providers · Browse ZIP 44028
Phone
4403746063
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in COLUMBIA STATION, OH

Name Credential NPI
MRS. MARGARET MARY KENNELEY LICENSED NURSE 1457363293
MS. TERESA M LINDSEY LPN 1336475441
HOLLY J HUTCHINSON LPN 1538464607
MRS. STACY KILEY LPN 1518373083
KIMBERLY CARABALLO 1114463825
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.