Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA CLARK
Active Sole ProprietorTARA CLARK is a Licensed Practical Nurse healthcare provider located in DAVENPORT, Iowa. NPI 1417818584 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · DAVENPORT, IA
Registration Details
- NPI Number
- 1417818584
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2025 (0.69408756428108 yrs)
- Last Updated
- Nov 19, 2025
- License
-
043106173 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2826 W LOCUST ST STE 2ADAVENPORT, IA, 528043354Browse IA providers · Browse ZIP 52804
- Phone
- 5633328528
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in DAVENPORT, IA
| Name | Credential | NPI |
|---|---|---|
| FELICIA S. BURRELL | LPN | 1699931741 |
| MRS. JENNIFER MARIE WELLER | L.P.N. | 1326330135 |
| TERRIE L WYNN | LPN | 1033529524 |
| MRS. NICOLE M MARTIN | LPN | 1215897152 |
| CANDACE D DESMET | — | 1386505741 |
| REGINA MARIE BURKHEAD | LPN | 1720940828 |
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.